Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence Medical Clinic

Organization Primary Care Clinic/Center · NPI 1700092442

Providence Medical Clinic is a Primary Care Clinic/Center in Baton Rouge, Louisiana. Licensed in Louisiana. Registered with an NPI since 2007.

Licensed in
LA
In the registry since
2007

Practice location Address checks out

9270 Siegen Ln Ste 202
Baton Rouge, LA 70810-1998
Phone: (225) 766-8152
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X (LA)

Record details

NPI number1700092442
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cuong Pho — Office Manager · (225) 766-8152
NPI enumeratedMay 16, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1229 Tanglebriar Dr, Baton Rouge, LA 70810-5195

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