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ABUNDANT HEALTH MEDICAL CLINIC
NPI 1003288614
Clinic/Center - Medical Specialty in Thibodaux, LA

Active since October 22, 2015
1001 JACKSON ST, THIBODAUX, LA 70301(985) 492-9111(985) 492-9114 Get Directions Write a Review

NPPES record last updated: October 22, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Abundant Health Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABUNDANT HEALTH MEDICAL CLINIC (NPI 1003288614) is a healthcare organization registered as a medical specialty in Thibodaux, Louisiana and active in the NPI registry since October 2015. The organization lists Adrienne Chanelle Robertson, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1003288614
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameABUNDANT HEALTH MEDICAL CLINIC, LLC
Location Address1001 JACKSON STThibodaux, LA 70301-3227
Mailing AddressPo Box 5011Thibodaux, LA 70302-5011 · (985) 492-9111 · Fax (985) 492-9114
Phone(985) 492-9111
Fax(985) 492-9114
Organization SubpartNo
Authorized OfficialAdrienne Chanelle RobertsonMedical Director · (334) 294-2758
Enumeration DateOctober 22, 2015
✔ NPI 1003288614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

1001 JACKSON ST, Thibodaux, LA 70301
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Other Names 1

Doing Business AsAbundant Health Medical Clinic

Other Identifiers 2

Medicaid2371231.LA
Medicare PIN360331LA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abundant Health Medical Clinic, LLC's NPI number?

The NPI number for Abundant Health Medical Clinic, LLC is 1003288614. It was assigned to this organization in the NPPES registry on October 22, 2015.

Where is Abundant Health Medical Clinic, LLC located?

Abundant Health Medical Clinic, LLC is located at 1001 Jackson St, Thibodaux, LA 70301. The listed phone number is (985) 492-9111.

What is Abundant Health Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Abundant Health Medical Clinic, LLC was last updated on October 22, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.