Provider Demographics
NPI:1053796565
Name:HEALTHREMEDE ENTERPRISES, LLC
Entity type:Organization
Organization Name:HEALTHREMEDE ENTERPRISES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:W
Authorized Official - Last Name:FRICK
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:225-387-3030
Mailing Address - Street 1:8742 GOODWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-7915
Mailing Address - Country:US
Mailing Address - Phone:225-387-3030
Mailing Address - Fax:225-387-4521
Practice Address - Street 1:8742 GOODWOOD BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-7915
Practice Address - Country:US
Practice Address - Phone:225-387-3030
Practice Address - Fax:225-387-4521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-26
Last Update Date:2015-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA261QU0200X, 261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine