MS. ESSIE B MACK (NPI# 1124224142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124224142 |
Entity Type | Individual |
Full Name | MS. ESSIE B MACK |
Credential | M.T. |
Practice Address |
1567 S Range Ave Denham Springs LA 70726-5201 |
Practice Telephone | 2256653500 |
Practice Fax Number | 2256653518 |
Mailing Telephone | 2256653500 |
Mailing Fax Number | 2256653518 |
Enumeration Date | 2007-06-26 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246QM0706X |
Spec/Tech, Pathology Specialization: Medical Technologist |
CLP.G00606-GEN | LA | Technologists, Technicians & Other Technical Service Providers |
Street Address |
1567 S RANGE AVE |
City | DENHAM SPRINGS |
State | LA |
Zip Code | 70726-5201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366646937 | Keith R Mack | Independent Medical Examiner | 1567 S Range Ave, Denham Springs, LA 70726-5201 | 2007-06-14 |
1700082229 | Trauma Specialists, Apmc | Independent Medical Examiner | 1567 S Range Ave, Denham Springs, LA 70726-5201 | 2007-06-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801402433 | Hiv/aids Alliance for Region Two, Inc. | Clinic/Center | 30789 N Range Avenue, Denham Springs, LA 70726 | 2020-09-18 |
1306456231 | Jinci Strahan | Registered Nurse | 24495 La-16, Denham Springs, LA 70726 | 2020-08-05 |
1568085058 | Bailey Brumley | Case Manager/Care Coordinator | 106 Business Park Ave, Denham Springs, LA 70726 | 2020-05-19 |
1518527977 | Papa's Farmacia Via Luzianna LLC | Pharmacy | 25831 Walker South Rd Ste 1, Denham Springs, LA 70726 | 2019-06-18 |
1265995807 | Michael Jacob Efferson | Counselor | 303 Veteran Blvd, Denham Springs, LA 70726 | 2019-04-10 |
1477031524 | Melissa Sepeda | Social Worker | 1110 South Range Ave, Denham Springs, LA 70726 | 2018-07-31 |
1215420633 | Tiffany Summers | Counselor | 30826 Linder Road, Denham Springs, LA 70726 | 2018-06-11 |
1588194377 | Kenneth Joseph Williams | Counselor | 26055 Burlwood Ave., Denham Springs, LA 70726 | 2017-06-14 |
1780130369 | Bonnie Pettyjohn | Counselor | 25560 Oak Hill Rd, Denham Springs, LA 70726 | 2016-09-01 |
1053769794 | Southeast Community Health Systems | Clinic/Center | 25753 Walker Road South, Denham Springs, LA 70726 | 2016-06-02 |
Find all providers in zip 70726 |
Taxonomy Code | 246QM0706X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Spec/Tech, Pathology |
Specialization | Medical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477992691 | Kim Tobin | Spec/Tech, Pathology | 11 Brent Ct, Baton Rouge, LA 70808-9060 | 2013-06-20 |
1972845329 | Stephanie Ann Stevens | Spec/Tech, Pathology | 310 Marilyn Dr, Sulphur, LA 70663-4029 | 2013-03-25 |
1982863619 | Laura Ourso | Spec/Tech, Pathology | 218 E Washington St, Shreveport, LA 71104-3544 | 2008-06-06 |
1538342431 | Ambrose Carroll Thibodeaux Jr. | Spec/Tech, Pathology | 1015 Choctaw Dr, Opelousas, LA 70570-6567 | 2007-12-13 |
1629249347 | Miriam J Wilbon | Spec/Tech, Pathology | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2008-03-20 |
1043288558 | Scott O Sibley | Spec/Tech, Pathology | 1455 Wright Ave, Crowley, LA 70526-2220 | 2006-03-09 |
City | DENHAM SPRINGS |
Zip Code | 70726 |
Please comment or provide details below to improve the information on MS. ESSIE B MACK.
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.