Provider Demographics
NPI:1558194985
Name:VIEMED CLINICAL SERVICES, LLC
Entity type:Organization
Organization Name:VIEMED CLINICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EVP
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-504-3802
Mailing Address - Street 1:625 E KALISTE SALOOM RD STE 400N
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-2540
Mailing Address - Country:US
Mailing Address - Phone:337-504-3802
Mailing Address - Fax:337-504-4409
Practice Address - Street 1:126 DARCY DR
Practice Address - Street 2:
Practice Address - City:ARCHER LODGE
Practice Address - State:NC
Practice Address - Zip Code:27527-7309
Practice Address - Country:US
Practice Address - Phone:337-504-3802
Practice Address - Fax:337-504-4409
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VIEMED, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty