YOUR FAMILY CARE CENTER LLC (NPI# 1063649143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063649143 |
Entity Type | Organization |
Organization Name | YOUR FAMILY CARE CENTER LLC |
Practice Address |
2412 Palmland Blvd New Iberia LA 70563-2913 |
Mailing Address |
303 Bayside Rd Jeanerette LA 70544-5801 |
Practice Telephone | 3375194740 |
Mailing Telephone | 3372765408 |
Mailing Fax Number | 3372765452 |
Enumeration Date | 2009-06-16 |
Last Update Date | 2009-06-16 |
Authorized Official Name | DR. EDISON L ONG (OWNER) |
Authorized Official Telephone | 3372765408 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
12332R | LA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1530301 | 05 | |
LA | MEDICAL LICENSE | 12332R | 01 |
LA | PROVIDER NPI | 1598794406 | 01 |
Street Address |
2412 PALMLAND BLVD |
City | NEW IBERIA |
State | LA |
Zip Code | 70563-2913 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932696812 | Check Point Urgent Care | Clinic/Center | 1108 Parkview Drive Suite A, New Iberia, LA 70563 | 2018-04-17 |
1497285399 | Pamela Thibeaux | Counselor | 125 Duperier Ave, New Iberia, LA 70563 | 2017-06-14 |
1659662625 | Clyde Edward Landrum | Otolaryngology | 41 Shadows Bend, New Iberia, LA 70563 | 2011-04-26 |
1487956538 | Baker Suraj, Inc | Internal Medicine | 602 N. Lewis Ave., Suite 100, New Iberia, LA 70563 | 2010-11-23 |
1619174208 | Sleep Solutions of New Iberia, LLC | Clinic/Center | 1100 Andre St Ste 200b, New Iberia, LA 70563 | 2007-06-28 |
1134253768 | Mark Steve Derouen | Dentist | 2301 Old Jeanerette Road, New Iberia, LA 70563 | 2007-03-15 |
1851441927 | Nancy Ann Schneider | Nurse Practitioner | 1302 Ed Broussard Road, New Iberia, LA 70563 | 2007-01-11 |
1538245980 | Morgan & Associates | Durable Medical Equipment & Medical Supplies | 2213 Old Jeanerette Road, New Iberia, LA 70563 | 2006-10-28 |
1528143955 | Rebecca H Charpentier | Dentist | 600 Rue De Onetta, New Iberia, LA 70563 | 2006-10-26 |
1518054709 | Southern Rx | Pharmacy | 1033 Andre St, New Iberia, LA 70563 | 2006-10-07 |
Find all providers in zip 70563 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932139193 | Iberia Family Care, Apmc | Clinic/Center | 222 E Main St Ste B, New Iberia, LA 70560-3878 | 2006-07-04 |
1205213949 | Iberia Pediatrics Inc | Clinic/Center | 295 Indest St, New Iberia, LA 70563-1719 | 2015-05-01 |
1972654986 | Raymond F Schneider Memorial Clinic, LLC | Clinic/Center | 1302 Ed Broussard Road, New Iberia, LA 70563 | 2007-01-16 |
1619937042 | Iberia Familymd, LLC | Clinic/Center | 2312 E Main St, Suite B, New Iberia, LA 70560-4064 | 2006-03-28 |
1639147085 | Iberia General Hospital & Medical Center | Clinic/Center | 2308 E Main St, New Iberia, LA 70560-4032 | 2006-03-10 |
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1205457645 | Perfect Phyzique Wellness & Body Contouring, LLC | Clinic/Center | 220 Carroll St Ste A, Shreveport, LA 71105-4247 | 2020-04-27 |
1104445758 | Jennings American Legion Hospital Inc | Clinic/Center | 1322 Elton Rd Ste F, Jennings, LA 70546-4100 | 2020-04-14 |
1346874732 | Southeast Family Medical Practice | Clinic/Center | 1320 N Morrison Blvd Ste 125, Hammond, LA 70401-2242 | 2020-02-25 |
1356973077 | Phca Houma LLC | Clinic/Center | 435 Corporate Dr Ste 402, Houma, LA 70360-2498 | 2020-02-11 |
1124659164 | Diana L. Corley, Fnp, LLC | Clinic/Center | 1015 Hwy 107, Centerpoint, LA 71323 | 2020-01-29 |
1790322717 | Take Care Clinic LLC | Clinic/Center | 6721 Saint Claude Ave Ste B, Arabi, LA 70032-1247 | 2019-12-09 |
1518503754 | Optimus Primary Care, LLC | Clinic/Center | 13828 Coursey Boulevard, Address Line 2, Baton Rouge, LA 70817 | 2019-11-22 |
1992367791 | Family First Medical & Wellness Clinic, LLC | Clinic/Center | 300 Clay St, Kenner, LA 70062 | 2019-07-01 |
1366926040 | In and Out Urgent Care Covington, LLC | Clinic/Center | 13130 Hwy 1085, Suite 100, Covington, LA 70433-7829 | 2018-09-19 |
1588143556 | Pediatric Center of Many LLC | Clinic/Center | 315 S Highland Dr Ste A, Many, LA 71449-3719 | 2018-08-10 |
Find all providers with the same taxonomy |
City | NEW IBERIA |
Zip Code | 70563 |
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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.