MAMOU HEALTH RESOURCES, INC. (NPI# 1306875398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306875398 |
| Entity Type | Organization |
| Organization Name | MAMOU HEALTH RESOURCES, INC. |
| Practice Address |
1510 Napoleon St Mamou LA 70554-2320 |
| Mailing Address |
300 South St Mamou LA 70554-4422 |
| Practice Telephone | 3374682333 |
| Practice Fax Number | 3374683620 |
| Mailing Telephone | 3374685959 |
| Mailing Fax Number | 3374685966 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JAKE FONTENOT (CEO, BOARD PRESIDENT) |
| Authorized Official Telephone | 3374685959 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1122785 | 05 |
| Street Address |
1510 NAPOLEON ST |
| City | MAMOU |
| State | LA |
| Zip Code | 70554-2320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437413580 | Compass Behavioral Center LLC | Psychiatric Hospital | 1510 Napoleon St, Mamou, LA 70554-2320 | 2012-07-03 |
| 1275675043 | Dina Broussard | Social Worker | 1510 Napoleon St, Mamou, LA 70554-2320 | 2007-02-12 |
| 1164509527 | Jessica Lee Mcnabb | Counselor | 1510 Napoleon St, Mamou, LA 70554-2320 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891328498 | Sarah Marie Thibodeaux | Behavioral Analyst | 601 Poinciana Avenue, Mamou, LA 70554 | 2020-02-21 |
| 1942739404 | Lisa Jack | Counselor | 613 East St, Mamou, LA 70554 | 2017-06-08 |
| 1225359136 | Juanita Golemon Moorman | Social Worker | 1610 6th St, Mamou, LA 70554 | 2010-06-15 |
| 1164485173 | Hossam Abdelmonem Abdel-rahman | Internal Medicine | 803 Poinciana Ave, Mamou, LA 70554 | 2006-04-10 |
| 1265730485 | Savoy Medical Management Group, Inc | Rehabilitation Unit | 801 Poinciana Ave, Mamou, LA 70554 | 2011-03-11 |
| 1760714497 | Savoy Medical Management Group, Inc. | General Acute Care Hospital | 801 Poinciana Ave, Mamou, LA 70554 | 2010-02-05 |
| 1477882033 | Savoy Medical Management Group, Inc. | General Acute Care Hospital | 801 Poinciana Ave, Mamou, LA 70554 | 2009-12-10 |
| 1144557927 | Savoy Medical Management Group, Inc. | Rehabilitation Unit | 801 Poinciana Ave, Mamou, LA 70554 | 2009-11-16 |
| 1801122585 | Savoy Medical Management Group, Inc. | Psychiatric Unit | 1610 7th St, Mamou, LA 70554 | 2009-10-30 |
| 1255667002 | Savoy Medical Management Group, Inc. | General Acute Care Hospital | 801 Poinciana Ave, Mamou, LA 70554 | 2009-10-29 |
| Find all providers in zip 70554 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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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.