GUARDIAN HEALTH CLINIC, LLC (NPI# 1437681178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437681178 |
Entity Type | Organization |
Organization Name | GUARDIAN HEALTH CLINIC, LLC |
Practice Address |
115 Christian Dr Rayville LA 71269-3658 |
Mailing Address |
Po Box 837 Rayville LA 71269-0837 |
Practice Telephone | 3187284400 |
Enumeration Date | 2017-03-31 |
Last Update Date | 2017-05-10 |
Authorized Official Name | ASHLEY MORRIS (MANAGER) |
Authorized Official Telephone | 3187284400 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Street Address |
115 CHRISTIAN DR |
City | RAYVILLE |
State | LA |
Zip Code | 71269-3658 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013962620 | Ralph Lee Abraham Jr. | Family Medicine | 115 Christian Dr, Rayville, LA 71269-3658 | 2006-05-23 |
1801118229 | Courtney Leigh Brunson | Registered Nurse | 115 Christian Dr, Rayville, LA 71269-3658 | 2010-02-26 |
1336288000 | Mary Jones Brooks | Social Worker | 115 Christian Dr, Rayville, LA 71269-3658 | 2007-02-06 |
1518010263 | Lucia Demma Jones | Registered Nurse | 115 Christian Dr, Rayville, LA 71269-3658 | 2007-01-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760089106 | Patricia Riley Mceacharn | Counselor | 161 Coumeaux Rd, Rayville, LA 71269 | 2020-10-08 |
1073122420 | Second Chances Recovery Center LLC | Substance Abuse Rehabilitation Facility | 161 Coumeaux Road, Rayville, LA 71269 | 2020-07-30 |
1518580901 | Carrie Hendrix Allen | Physical Therapist | 29 Clark Rd, Rayville, LA 71269 | 2020-05-20 |
1679056378 | Donnesha Martin | Case Manager/Care Coordinator | 114 Ineichen Street Suite A, Rayville, LA 71269 | 2018-09-10 |
1518474238 | Colonial Manor Nursing and Rehabilitation Home Inc | Skilled Nursing Facility | 307 Foster Street, Rayville, LA 71269 | 2018-01-03 |
1205294535 | Patricia S Johnson | Counselor | 114 Ineechen Street, Rayville, LA 71269 | 2016-02-01 |
1235423526 | Melissa Sears | Case Manager/Care Coordinator | 114 Ineichen St Ste A, Rayville, LA 71269 | 2011-06-03 |
1639484983 | W. Tyler Heath, D.m.d., Family Dentistry A Dent | Dentist | 1107 Louisa Street, Rayville, LA 71269 | 2010-08-11 |
1093996969 | Richardson Medical Center School Based Health Clinic | Clinic/Center | 155 Hwy 3048, Rayville, LA 71269 | 2007-11-20 |
1477761393 | Cookies Helping Hands | Technician | 1298 Hwy 861, Crowville, LA 71269 | 2007-05-21 |
Find all providers in zip 71269 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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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 |
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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.