ST. MARTINVILLE MATERNAL-CHILD CLINIC
NPI 1922283225
Clinic/Center - Rural Health in Saint Martinville, LA

NPI Status: Active since January 04, 2008

Contact Information

1119 N MAIN ST
SAINT MARTINVILLE, LA
ZIP 70582
Phone: (337) 394-7774

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  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance
  • CLIA Number: 19D0978940
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-24-2026

About ST. MARTINVILLE MATERNAL-CHILD CLINIC

This page provides the complete NPI Profile along with additional information for St. Martinville Maternal-child Clinic, a primary care provider established in Saint Martinville, Louisiana operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1922283225 assigned on January 2008. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. St. Martinville Maternal-child Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as St. Martinville Maternal-child Clinic. The authorized official of this NPI record is Alec Moyer (Business Manager)

NPI
1922283225
Provider Legal Name
PEDIATRIC GROUP OF ACADIANA, LLC
Other Organization Name
ST. MARTINVILLE MATERNAL-CHILD CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1119 N MAIN ST SAINT MARTINVILLE, LA 70582
Location Phone
(337) 394-7774
Mailing Address
401 YOUNGSVILLE HWY STE 100 LAFAYETTE, LA 70508
Mailing Phone
(337) 330-0031
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-04-2008
Last Update Date
12-16-2019
Code Navigator

A primary care provider (PCP) like St. Martinville Maternal-child Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1174400000XOther Service Providers

Specialist

10447R (LA)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ALEC MOYER

Authorized Official Title
BUSINESS MANAGER
Authorized Official Phone
(337) 256-5111

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
193885OTHER (01)LAMEDICARE RURAL HEALTH ID
1027545MEDICAID (05)LA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
19D0978940
Facility Type
Physician Office
Certificate Effective Date
July 25, 2024
Certificate Expiration Date
July 24, 2026
Laboratory Director
JIBRAN ATWI
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to St. Martinville Maternal-child Clinic on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for ST. MARTINVILLE MATERNAL-CHILD CLINIC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1922283225
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
294248624
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 4 + 8 + 6 + 2 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1922283225 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235268293MS. COURTNEY VICE HABETZ P.A.-C
Individual
Physician Assistant1119 N MAIN ST
SAINT MARTINVILLE, LA 70582
(337) 394-7774
1336564533MS. HOLLAN DESHOTEL FORTIER APRN, FNP-C
Individual
Nurse Practitioner (Family)1119 N MAIN ST
SAINT MARTINVILLE, LA 70582
(337) 394-7774

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922283225, enumerated in the NPI registry as an "organization" on January 04, 2008

The provider is located at 1119 N Main St Saint Martinville, La 70582 and the phone number is (337) 394-7774

This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 19D0978940 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on January 04, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.