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EAST BAYOU MEDICAL SUPPLY
NPI 1912289224
Clinic/Center in Lafayette, LA

Active since September 13, 2011
204 ENERGY PKWY, SUITE B, LAFAYETTE, LA 70508(337) 269-0136(337) 233-8525 Get Directions Write a Review

NPPES record last updated: September 13, 2011. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About East Bayou Medical Supply NPPES

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

EAST BAYOU MEDICAL SUPPLY (NPI 1912289224) is a healthcare organization registered as a clinic/center in Lafayette, Louisiana and active in the NPI registry since September 2011. The organization lists Paul Eugene Fenn, Physician, as its authorized official.

NPPES Registry Identity

NPI1912289224
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEAST BAYOU MEDICAL SUPPLY
Location Address204 ENERGY PKWY, SUITE BLafayette, LA 70508-3816
Mailing Address204 Energy Pkwy, Suite BLafayette, LA 70508-3816 · (337) 269-0136 · Fax (337) 233-8525
Phone(337) 269-0136
Fax(337) 233-8525
Organization SubpartNo
Authorized OfficialPaul Eugene FennPhysician · (337) 269-0136
Enumeration DateSeptember 13, 2011
✔ NPI 1912289224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in LA · MD200825
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
204 ENERGY PKWY, Lafayette, LA 70508
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAGE SPECIALTY HOSPITAL OF LAFAYETTE LLC
Long Term Care Hospital
204 ENERGY PKWY
LAFAYETTE, LA 70508
Lafayette Parish (337) 232-1905
SAGE REHAB HOSPITAL OF LAFAYETTE OPERATIONS, LLC
Rehabilitation Hospital
204 ENERGY PKWY
LAFAYETTE, LA 70508
Lafayette Parish (225) 368-3181
DR. GORDON GREGORY GIDMAN M.D.
Specialist
204 ENERGY PKWY, SUITE B
LAFAYETTE, LA 70508
Lafayette Parish (337) 269-0136
POST ACUTE SPECIALTY HOSPITAL OF LAFAYETTE LLC
Long Term Care Hospital
204 ENERGY PKWY
LAFAYETTE, LA 70508
Lafayette Parish (804) 204-1537

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 East Bayou Medical Supply's NPI number?

The NPI number for East Bayou Medical Supply is 1912289224. It was assigned to this organization in the NPPES registry on September 13, 2011.

Where is East Bayou Medical Supply located?

East Bayou Medical Supply is located at 204 Energy Pkwy Suite B, Lafayette, LA 70508. The listed phone number is (337) 269-0136.

What is East Bayou Medical Supply's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for East Bayou Medical Supply was last updated on September 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.