Provider Demographics
NPI:1205140068
Name:BIMLE MANAGEMENT COMPANY
Entity type:Organization
Organization Name:BIMLE MANAGEMENT COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:P
Authorized Official - Last Name:BIMLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:318-324-0111
Mailing Address - Street 1:107 CONTEMPO AVE
Mailing Address - Street 2:STE A
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-5382
Mailing Address - Country:US
Mailing Address - Phone:318-324-0111
Mailing Address - Fax:
Practice Address - Street 1:107 CONTEMPO AVE
Practice Address - Street 2:STE A
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-5382
Practice Address - Country:US
Practice Address - Phone:318-324-0111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-03
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty