Provider Demographics
NPI:1851554398
Name:SYNERGY PRIMARY HEALTH INC
Entity Type:Organization
Organization Name:SYNERGY PRIMARY HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KATINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-924-1833
Mailing Address - Street 1:PO BOX 45892
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70895-4892
Mailing Address - Country:US
Mailing Address - Phone:225-924-1833
Mailing Address - Fax:225-924-1834
Practice Address - Street 1:9930 FLORIDA BLVD
Practice Address - Street 2:SUITE K
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70815-1467
Practice Address - Country:US
Practice Address - Phone:225-924-1833
Practice Address - Fax:225-924-1834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-03
Last Update Date:2008-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies