BASTROP PEDIATRIC DAY HEALTH CENTER, LLC — NPI 1033552385 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in BASTROP, LA)

CMS-1500 Box 24J / 33a • NPI

1033552385

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QM3000X

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

205 HALL ST, BASTROP, LA, 71220-4602

✓ 9-Digit EDI 837 ZIP+4 (71220-4602)

Practice Phone & Referral Fax

(318) 281-8009

Fax: (318) 281-2937

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1033552385 (BASTROP PEDIATRIC DAY HEALTH CENTER, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1033552385` (NPI-2 Organization / Facility)
Provider / Legal Name	BASTROP PEDIATRIC DAY HEALTH CENTER, LLC
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QM3000X` (Clinic/Center, Medically Fragile Infants and Children Day Care)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	205 HALL ST, BASTROP, LA, 71220-4602
Practice Telephone / Fax	Tel: (318) 281-8009 \| Fax: (318) 281-2937
Administrative Mailing Address	205 HALL ST, BASTROP, LA, 71220-4602
Enumeration & Last Sync	Enumerated: 2013-04-16 \| CMS Record Updated: 2024-10-07
Authorized Official	SUZANNE SMITH (Administrator/DON)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

205 HALL ST, BASTROP, LA, 71220-4602

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Plain-English Taxonomy & CMS Crosswalk (261QM3000X)

What Does Taxonomy Code 261QM3000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QM3000X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BASTROP PEDIATRIC DAY HEALTH CENTER, LLC)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261QM3000X` — Clinic/Center, Medically Fragile Infants and Children Day Care Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Yes (Primary)
`302R00000X` — Health Maintenance Organization Plain English: Licensed & Credentialed Health Maintenance Organization	State: N/A \| License: `Verified` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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BASTROP PEDIATRIC DAY HEALTH CENTER, LLC (NPI #1033552385)