ACADIA FAMILY CLINIC LLC (NPI# 1174710685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174710685 |
| Entity Type | Organization |
| Organization Name | ACADIA FAMILY CLINIC LLC |
| Other Organization Name | ACADIA FAMILY CLINIC RHC |
| Practice Address |
1325 Wright Ave Suite E Crowley LA 70526-2226 |
| Practice Telephone | 3377881081 |
| Practice Fax Number | 3377881083 |
| Mailing Telephone | 3377881081 |
| Mailing Fax Number | 3377881083 |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2017-01-03 |
| Authorized Official Name | GINA L MILLER (NURSE PRACTIONER/OWNER) |
| Authorized Official Telephone | 3377881081 |
| Authorized Official Credential | N.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
0390699-22 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
133 | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1037745 | 05 |
| Other Name | Type Code |
|---|---|
| ACADIA FAMILY CLINIC RHC | Doing Business As Name - Organization |
| Street Address |
1325 WRIGHT AVE SUITE E |
| City | CROWLEY |
| State | LA |
| Zip Code | 70526-2226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801893508 | Gary H Stevens | Surgery | 1325 Wright Ave, Suite G, Crowley, LA 70526-2226 | 2005-07-07 |
| 1366069627 | Samantha Bergeron | Case Manager/Care Coordinator | 1325 Wright Ave, Crowley, LA 70526-2226 | 2020-07-02 |
| 1235761925 | Mary Toups | Counselor | 1325 Wright Ave, Crowley, LA 70526-2226 | 2020-02-10 |
| 1194246595 | Adria Champagne Dubose | Nurse Practitioner | 1325 Wright Ave, Crowley, LA 70526-2226 | 2017-07-06 |
| 1013442433 | Darlene Cormier | Case Manager/Care Coordinator | 1325 Wright Ave, Crowley, LA 70526-2226 | 2017-04-23 |
| 1164978078 | Tiremone Williams | Case Manager/Care Coordinator | 1325 Wright Ave, Crowley, LA 70526-2226 | 2016-08-31 |
| 1932550035 | Jennifer Driggers Trahan | Nurse Practitioner | 1325 Wright Ave, Suite K, Crowley, LA 70526-2226 | 2016-06-29 |
| 1598115057 | Jedediah David Meche | Nurse Practitioner | 1325 Wright Ave, Ste. H, Crowley, LA 70526-2226 | 2016-06-15 |
| 1114392693 | Hannah Comeaux | Counselor | 1325 Wright Ave, Crowley, LA 70526-2226 | 2015-12-09 |
| 1366849390 | Amanda R. Dupre Lcsw LLC | Social Worker | 1325 Wright Ave, Suite E, Crowley, LA 70526-2226 | 2014-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720606478 | Dr Lawanda Lamar Bellamy Md A Professional Medical Corporation | Clinic/Center | 1307 Crowley-rayne Hwy, Suite B, Crowley, LA 70526 | 2020-07-09 |
| 1255950192 | Just Health | Clinic/Center | 500 Northeast Court Circle, Ste 3, Crowley, LA 70526 | 2020-04-10 |
| 1942724901 | Megan Cart Chachere | Family Medicine | 1307 Crowley Rayne Hwy Ste D, Crowley, LA 70526 | 2017-08-01 |
| 1598205940 | Astacia Ford | Counselor | 1325 Wright Ave. Suite D, Crowley, LA 70526 | 2017-03-05 |
| 1982032041 | Susan Carnes | Registered Nurse | 1822 West Second St., Crowley, LA 70526 | 2013-10-28 |
| 1679842280 | Todd Anthony Touchet | Dentist | 117 Blue Lake Drive, Crowley, LA 70526 | 2011-12-28 |
| 1417270067 | Envision Pathology LLC | Clinical Medical Laboratory | 806 North Avenue K, Suite 101, Crowley, LA 70526 | 2010-03-10 |
| 1205028412 | Patrick Dale Leleux Jr. | Internal Medicine | 1307 Crowley Rayne Hwy Ste E, Crowley, LA 70526 | 2007-08-11 |
| 1164634283 | Acadia Parish School System | Clinic/Center | 2402 N. Parkerson Avenue, Crowley, LA 70526 | 2007-05-03 |
| 1497801450 | Kurt S Rothermel | Dentist | 817 North Avenue K, Crowley, LA 70526 | 2007-01-25 |
| Find all providers in zip 70526 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720606478 | Dr Lawanda Lamar Bellamy Md A Professional Medical Corporation | Clinic/Center | 1307 Crowley-rayne Hwy, Suite B, Crowley, LA 70526 | 2020-07-09 |
| 1679126510 | Pediatric Group of Acadiana, LLC | Clinic/Center | 1307 Crowley Rayne Hwy Ste C, Crowley, LA 70526-8210 | 2019-07-19 |
| 1326593948 | Crowley Cares Family Clinic | Clinic/Center | 576 N Avenue G, Crowley, LA 70526-4441 | 2016-08-24 |
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| 1760089791 | Blanchard Medical | Clinic/Center | 5948 N Market St, Shreveport, LA 71107-2017 | 2020-10-02 |
| 1922619238 | Pediatric Group of Acadiana, LLC | Clinic/Center | 818 W. Veterans Memorial, Kaplan, LA 70548 | 2020-08-11 |
| 1669002002 | Franklin Parish Hospital Service Dist 1 | Clinic/Center | 7645 Gilbert Street, Gilbert, LA 71336 | 2020-01-24 |
| 1184260937 | Children's International, LLC | Clinic/Center | 5151 Plank Rd Ste 190, Baton Rouge, LA 70805-3501 | 2019-11-26 |
| 1003467440 | Clhg-acadian LLC | Clinic/Center | 151 Hill St Ste 102, Eunice, LA 70535-5845 | 2019-09-26 |
| 1164073524 | Tangi Wellness & Health | Clinic/Center | 906 C M Fagan Dr Ste B3, Hammond, LA 70403-6056 | 2019-09-26 |
| 1598327892 | Clhg-leesville, LLC | Clinic/Center | 927 Verone Ter, Leesville, LA 71446-4255 | 2019-07-08 |
| 1982164224 | Clhg-leesville, LLC | Clinic/Center | 18570 Johnny B. Hall Memorial Hwy, U.S. Route 171, Rosepine, LA 70659 | 2019-03-22 |
| Find all providers with the same taxonomy | ||||
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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.