Provider Demographics
NPI:1851566657
Name:INTERACTIVEPATIENTCAREATTENDANTSERVICES
Entity Type:Organization
Organization Name:INTERACTIVEPATIENTCAREATTENDANTSERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:CLEMENTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-457-2181
Mailing Address - Street 1:1932 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70117-7604
Mailing Address - Country:US
Mailing Address - Phone:504-473-3102
Mailing Address - Fax:504-457-2183
Practice Address - Street 1:1932 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70117-7604
Practice Address - Country:US
Practice Address - Phone:504-473-3102
Practice Address - Fax:504-457-2183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization