T & T KLICK, LLC (NPI# 1023399888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023399888 |
Entity Type | Organization |
Organization Name | T & T KLICK, LLC |
Other Organization Name | FAMILY CARE CLINIC |
Practice Address |
107 Lela St Mangham LA 71259-5063 |
Practice Telephone | 3182484100 |
Practice Fax Number | 3182484103 |
Mailing Telephone | 3182484100 |
Mailing Fax Number | 3182484103 |
Enumeration Date | 2011-09-06 |
Last Update Date | 2011-10-20 |
Authorized Official Name | TERRI LYNN KLICK (OWNER) |
Authorized Official Telephone | 3182484100 |
Authorized Official Credential | FNP-C |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
APO6543 | LA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Family Care Clinic | Doing Business As Name - Organization |
Street Address |
107 LELA ST |
City | MANGHAM |
State | LA |
Zip Code | 71259-5063 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184868788 | Ronald J Morgan, A Professional Medical Corporation | Family Medicine | 107 Lela St, Mangham, LA 71259-5063 | 2009-04-27 |
1558649905 | Terri Lynn Klick | Nurse Practitioner | 107 Lela St, Mangham, LA 71259-5063 | 2011-08-02 |
1083924385 | Doctors Bringing It Home LLC | Clinic/Center | 107 Lela St, Mangham, LA 71259-5063 | 2010-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366610719 | Mangham Home Care | Home Health | 714 Broadway Street, Mangham, LA 71259 | 2008-02-19 |
1386754620 | Jennifer Newton Boles | Dentist | 4279 Hwy 15, Mangham, LA 71259 | 2006-08-30 |
1720006679 | Mangham Home Care Inc | Home Health | 714 Broadway, Mangham, LA 71259 | 2006-07-18 |
1700841079 | Mangham Rx Drugs, Inc | Pharmacy | 104 Louisiana St, Mangham, LA 71259 | 2006-04-19 |
1972767291 | Mangham Home Care, Inc. | Home Health | 714 Broadway Street, Mangham, LA 71259 | 2008-07-16 |
1538235429 | Mangham Home Care, Inc | Home Health | 714 Broadway, Mangham, LA 71259 | 2006-11-24 |
1902850035 | Affinity Health Group, LLC | Family Medicine | 261 Hwy 132, Mangham, LA 71259-0219 | 2006-05-22 |
1578665477 | Community Care Services, Inc. | Technician | 508 Horace St, Mangham, LA 71259-5056 | 2006-09-01 |
1154450641 | Community Care Services, Inc | Technician | 508 Horace St, Mangham, LA 71259-5056 | 2007-03-02 |
1043347206 | Community Care Services, Inc | Technician | 508 Horace St, Mangham, LA 71259-5056 | 2007-02-27 |
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Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083924385 | Doctors Bringing It Home LLC | Clinic/Center | 107 Lela St, Mangham, LA 71259-5063 | 2010-10-20 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.