SAVOY MEDICAL MANAGEMENT GROUP, INC (NPI# 1609234012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609234012 |
| Entity Type | Organization |
| Organization Name | SAVOY MEDICAL MANAGEMENT GROUP, INC |
| Other Organization Name | BASILE RURAL HEALTH CLINIC |
| Practice Address |
1431 Fuselier Ave Basile LA 70515-5583 |
| Mailing Address |
801 Poinciana Ave Mamou LA 70554-2243 |
| Practice Telephone | 3374320200 |
| Practice Fax Number | 3374320202 |
| Mailing Telephone | 3374320200 |
| Mailing Fax Number | 3374320202 |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2019-03-19 |
| Authorized Official Name | MR. MICHAEL W. JOHNSON (PRESIDENT) |
| Authorized Official Telephone | 3374680355 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | Y |
| Parent Organization Name | SAVOY MEDICAL MANAGEMENT GROUP, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
2203783121 | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | MEDICARE RHC CCN | 193924 | 01 |
| LA | 2455478 | 05 |
| Other Name | Type Code |
|---|---|
| BASILE RURAL HEALTH CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629516612 | Savoy Medical Management Group, Inc | Clinic/Center | 1013 W Lincoln Rd, Ville Platte, LA 70586-3045 | 2017-02-09 |
| 1265730485 | Savoy Medical Management Group, Inc | Rehabilitation Unit | 801 Poinciana Ave, Mamou, LA 70554 | 2011-03-11 |
| 1326349580 | Savoy Medical Management Group, Inc | Clinic/Center | 803 Poinciana Ave, Mamou, LA 70554-2201 | 2010-11-04 |
| Street Address |
1431 FUSELIER AVE |
| City | BASILE |
| State | LA |
| Zip Code | 70515-5583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982042024 | Tara Baquet | Registered Nurse | 1431 Fuselier Ave, Basile, LA 70515-5583 | 2013-06-11 |
| 1235280231 | Bobbie W Deshotel | Family Medicine | 1431 Fuselier Ave, Basile, LA 70515-5583 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548474588 | Susan Paula Thompson | Physical Therapist | 3125 East Third Street, Basile, LA 70515 | 2007-05-09 |
| 1164509550 | Ronald Joseph Broussard | Pharmacist | 3131 Stagg, Basile, LA 70515 | 2006-11-01 |
| 1972023703 | Jo Ann Gay | Case Manager/Care Coordinator | Po Box 146, Basile, LA 70515-0146 | 2017-06-22 |
| 1174659429 | Michelle Andrus Thrifty Way of Basile LLC | Pharmacy | 3131 Stagg, Basile, LA 70515-0472 | 2007-02-23 |
| 1306034483 | Denee Nichol Soileau | Speech-Language Pathologist | 138 Chase Ln, Basile, LA 70515-3211 | 2007-10-14 |
| 1760643928 | Jevin Marc Bordelon | Family Medicine | 9000 Evangeline Hwy, Basile, LA 70515-3332 | 2008-06-20 |
| 1962813014 | Nikki L Toussaint | Nurse Practitioner | 1431 N. Fusilier Ave., Basile, LA 70515-3910 | 2014-05-12 |
| 1477927689 | Alanna Denise Hebert | Nurse Practitioner | 1366 Mamou Prairie Rd, Basile, LA 70515-3939 | 2015-11-26 |
| 1780627430 | Basile Care Center Inc | Nursing Facility/Intermediate Care Facility | 2907 E Schambers St, Basile, LA 70515-5445 | 2006-06-13 |
| 1306113402 | Basile Family Pharmacy LLC | Pharmacy | 2932 Stagg Ave Ste B, Basile, LA 70515-5560 | 2011-11-18 |
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| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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|---|---|---|---|---|
| 1225689821 | Clhg-acadian LLC | Clinic/Center | 2932 Stagg Ave, Basile, LA 70515-5560 | 2019-09-25 |
| 1366847139 | Jena M Roy Fnp LLC | Clinic/Center | 2932 Stagg Ave, Suite A, Basile, LA 70515-5560 | 2014-10-23 |
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| 1720606478 | Dr Lawanda Lamar Bellamy Md A Professional Medical Corporation | Clinic/Center | 1307 Crowley-rayne Hwy, Suite B, Crowley, LA 70526 | 2020-07-09 |
| 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 |
| 1679126510 | Pediatric Group of Acadiana, LLC | Clinic/Center | 1307 Crowley Rayne Hwy Ste C, Crowley, LA 70526-8210 | 2019-07-19 |
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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.