DEPARTMENT OF HEALTH AND HOSPITALS (NPI# 1306800289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306800289 |
Entity Type | Organization |
Organization Name | DEPARTMENT OF HEALTH AND HOSPITALS |
Other Organization Name | BEHAVIORAL HEALTH CLINIC OF CENTRAL LA (AD) |
Practice Address |
242 West Shamrock Unit 1 Pineville LA 71360 |
Mailing Address |
Po Box 7473 Alexandria LA 71306-7473 |
Practice Telephone | 3184886846 |
Practice Fax Number | 3184886844 |
Mailing Telephone | 3184886846 |
Mailing Fax Number | 3184886844 |
Enumeration Date | 2006-04-17 |
Last Update Date | 2011-07-28 |
Authorized Official Name | MR. JOHN EGAN JONES (REGIONAL ADMINISTRATOR) |
Authorized Official Telephone | 3184875191 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LAC 592 | LA | Behavioral Health & Social Service Providers |
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LAC # 904 | LA | Behavioral Health & Social Service Providers |
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LAC #713 | LA | Behavioral Health & Social Service Providers |
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
RAC #1340 | LA | Behavioral Health & Social Service Providers |
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CAC #1330 | LA | Behavioral Health & Social Service Providers |
N | 1041C0700X |
Social Worker Specialization: Clinical |
RSW # 7478 | LA | Behavioral Health & Social Service Providers |
N | 1041C0700X |
Social Worker Specialization: Clinical |
LMSW #4870 | LA | Behavioral Health & Social Service Providers |
N | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
RN #055444 | LA | Nursing Service Providers |
N | 164W00000X | Licensed Practical Nurse | LPN # 850513 | LA | Nursing Service Providers |
Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
MD 017125 | LA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | BLUECROSS BLUESHILED | G9759 | 01 |
Other Name | Type Code |
---|---|
Behavioral Health Clinic of Central La (AD) | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679746770 | Department of Health and Hospitals | Clinic/Center | 2130 1st St, Slidell, LA 70458-3432 | 2008-04-09 |
1578619557 | Department of Health and Hospitals | Counselor | 602 East Georgia Avenue, Ruston, LA 71270 | 2007-01-25 |
1255485967 | Department of Health and Hospitals | Clinic/Center | 619 Willis Ave, Bogalusa, LA 70427-3001 | 2007-01-22 |
1699829564 | Department of Health and Hospitals | Clinic/Center | 1809 West Airline Highway, La Place, LA 70068-3336 | 2007-01-22 |
1497794887 | Department of Health and Hospitals | Clinic/Center | 421 W Airline Hwy, Suite L, La Place, LA 70068-3820 | 2006-06-04 |
1437196946 | Department of Health and Hospitals | Clinic/Center | 19404 N 10th St, Covington, LA 70433-8892 | 2006-06-01 |
1104871425 | Department of Health and Hospitals | Substance Abuse Rehabilitation Facility | 4012 Avenue H, Lake Charles, LA 70615-5186 | 2006-05-24 |
1215988241 | Department of Health and Hospitals | Substance Abuse Rehabilitation Facility | 23260 Greenwell Springs Rd, Greenwell Springs, LA 70739-6031 | 2006-05-15 |
1023066230 | Department of Health and Hospitals | Clinic/Center | Washington Parish Adac, 2106 Avenue F, Bogalusa, LA 70427-5027 | 2006-05-04 |
1750348462 | Department of Health and Hospitals | Clinic/Center | 6240 Greenwood Rd, Shreveport, LA 71119-8413 | 2006-04-27 |
Street Address |
242 WEST SHAMROCK UNIT 1 |
City | PINEVILLE |
State | LA |
Zip Code | 71360 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750512083 | William Calvit Bankston Jr. | Social Worker | 242 West Shamrock, Pineville, LA 71360 | 2009-08-04 |
1740457688 | Stephanie M. Turnage | Registered Nurse | 242 West Shamrock, Pineville, LA 71360 | 2008-05-09 |
1962670331 | Terence E. Cooper | Counselor | 242 West Shamrock, Unit 6 Meadow Lane, Pineville, LA 71360 | 2008-02-19 |
1447477013 | Jeff Linzay | Pharmacist | 242 West Shamrock, Pineville, LA 71360 | 2007-04-18 |
1588785737 | Angela Duncan-ayo | Counselor | 242 West Shamrock, Pineville, LA 71360-6439 | 2007-04-03 |
1477674489 | Priscilla Strange | Counselor | 242 West Shamrock, Pineville, LA 71360-6439 | 2007-04-03 |
1073634002 | Nadine Gaspard | Counselor | 242 West Shamrock, Pineville, LA 71360-6439 | 2007-04-03 |
1427170463 | Darnita Metoyer | Counselor | 242 West Shamrock, Pineville, LA 71360-6439 | 2007-04-03 |
1679694681 | Kimberly Hayward | Counselor | 242 West Shamrock, Pineville, LA 71360-6439 | 2007-04-03 |
1972625929 | Vontrecia Sewell | Counselor | 242 West Shamrock, Pineville, LA 71360-6439 | 2007-04-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578110789 | Reneisha Armonii Roberts | Pharmacist | 3100 La-28, Pineville, LA 71360 | 2019-08-22 |
1396303145 | Tina Marie Lawhorn | Nurse Practitioner | 2945 Shreveport Hwy, Pineville, LA 71360 | 2019-06-05 |
1942773213 | Tioga Pharmacy LLC | Pharmacy | 5101 Shreveport Hwy, Pineville, LA 71360 | 2019-01-09 |
1649755497 | Jessica Wooten | Nurse Practitioner | 292 Jerry Lofton Rd, Pineville, LA 71360 | 2018-09-27 |
1215421995 | Elizabeth Simon-clark | Counselor | Central La State Hospital Unit 6 Meadows Lane, Pineville, LA 71360 | 2018-06-18 |
1982116497 | Dm Properties of Rapides, LLC | Radiology | 2705 Highway 28 E Ste B, Pineville, LA 71360 | 2017-10-25 |
1508384587 | Marion Patrick Hazelton I | Counselor | Pathways Red River Treatment Center, 242 West Shamrock Ave Unit 6 Melody Lane, Pineville, LA 71360 | 2017-08-30 |
1669902557 | Jessica Williams | Social Worker | Unit 6 Wing A Meadow Lane, Pineville, LA 71360 | 2017-06-14 |
1104365840 | Naomi Gates | Social Worker | 242 W Shamrock Unit 1, Pineville, LA 71360 | 2017-02-14 |
1861930224 | Sharon Humphrey | Counselor | 5400 Service Rd B206, Pineville, LA 71360 | 2017-02-06 |
Find all providers in zip 71360 |
Taxonomy Code | 207QA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Addiction Medicine |
A family medicine physician who specializes in the diagnosis and treatment of addictions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467927723 | Eugene and Oleander LLC | Family Medicine | 11715 Bricksome Ave Ste A6, Baton Rouge, LA 70816-2307 | 2018-10-12 |
1700305679 | Horizon Medical Treatment Centers | Family Medicine | 4313 Bluebonnet Blvd Ste B, Baton Rouge, LA 70809-9679 | 2017-09-12 |
1609002799 | Michael Philip Melcher | Family Medicine | 2116 N Bolton Ave, Alexandria, LA 71303-4405 | 2009-06-03 |
1952556094 | Chad W Trosclair | Family Medicine | 19411 Helenbirg Rd Ste 101, Covington, LA 70433-5199 | 2008-11-17 |
1750573747 | Louis Cataldie | Family Medicine | 6038 Jefferson Hwy, Baton Rouge, LA 70806-8013 | 2007-08-14 |
1154787554 | Ecl Group, LLC | Family Medicine | 2445 E Milton Ave, Youngsville, LA 70592-5346 | 2016-01-14 |
1265749519 | Clyde E. Elliott, M. D. A Professional Corporation | Family Medicine | 304 Circle Dr, West Monroe, LA 71291-5308 | 2010-09-08 |
1073732541 | Douglas Wayne Cook | Family Medicine | 86 Palmetto Rd, Rayville, LA 71269-6415 | 2007-04-24 |
1821004078 | Georgette Somjen | Family Medicine | 4836 Wabash St, Suite 202, Metairie, LA 70001-6717 | 2006-07-31 |
1356363428 | John Cedric Dauphin | Family Medicine | 809 Martin Luther King Jr Dr, Lafayette, LA 70501-1884 | 2006-07-24 |
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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.