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Pediatric & Adolescent Clinic of Louisiana LLC

Rural Health Clinic/Center in Vidalia, LA · enumerated 2024 · authorized official David Timm, Medical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1346092038

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Registry record

Entity type Organization (Type 2)
Legal business name Pediatric & Adolescent Clinic of Louisiana LLC
Practice address 1806 Carter St, Vidalia, LA, 71373
Phone (318) 336-7172
Fax (318) 336-7176
Enumeration date Apr 4, 2024
Last updated in NPPES May 26, 2026

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name David Timm
Title Medical Director
Phone (601) 442-7676

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Pediatric & Adolescent Clinic of Louisiana LLC located?
The practice location on file with NPPES is in Vidalia, LA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-05-26. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-26.