WOODWORTH FAMILY MEDICINE INC. (NPI# 1639368335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639368335 |
Entity Type | Organization |
Organization Name | WOODWORTH FAMILY MEDICINE INC. |
Practice Address |
9372 Hwy.165 South Woodworth LA 71485 |
Mailing Address |
P.o.box406 Woodworth LA 71485 |
Practice Telephone | 3184849588 |
Practice Fax Number | 3184849590 |
Mailing Telephone | 3184849588 |
Mailing Fax Number | 3184849590 |
Enumeration Date | 2007-10-18 |
Last Update Date | 2007-10-18 |
Authorized Official Name | MR. DAVID VANMOL (PRESIDENT) |
Authorized Official Telephone | 3184849588 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
119 | LA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1494437 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700953965 | Woodworth Family Medicine Inc. | Physician Assistant | 9372 Hwy. 165 S., Woodworth, LA 71485 | 2006-11-30 |
Street Address |
9372 HWY.165 SOUTH |
City | WOODWORTH |
State | LA |
Zip Code | 71485 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396996351 | Kimberly Bostick-field | Nurse Practitioner | 9372 Hwy 165 South, Woodworth, LA 71485 | 2008-10-08 |
1700953965 | Woodworth Family Medicine Inc. | Physician Assistant | 9372 Hwy. 165 S., Woodworth, LA 71485 | 2006-11-30 |
1952335937 | Vanmol LLC | Pharmacy | 9374 Hwy 165, Woodworth, LA 71485 | 2006-07-10 |
1932404951 | Arie R Spitzfaden | Pharmacist | 1032 Rambleview Dr, Woodworth, LA 71485-3001 | 2011-01-22 |
1407382369 | Beyond Words Therapy Services LLC | Speech-Language Pathologist | 123 Saint Abigail Ln, Woodworth, LA 71485-4703 | 2017-05-11 |
1700103728 | Hollie Deslatte Kelley | Physical Therapist | 1022 Chris Xing, Woodworth, LA 71485-4806 | 2010-04-29 |
1447379201 | Stephanie Land | Pharmacist | 517 Bob Odom Loop, Woodworth, LA 71485-4808 | 2007-03-29 |
1700076478 | Cynthia C Juneau-fallon | Speech-Language Pathologist | 1457 Lake Dr, Woodworth, LA 71485-7921 | 2007-07-30 |
1558636852 | Ltc Services, Inc. | Nurse Practitioner | 2000 Maison Rue Dr, Woodworth, LA 71485-9524 | 2012-03-20 |
1437513678 | Philip Brocato | Behavioral Analyst | 170 Dogwood Pass, Woodworth, LA 71485-9712 | 2016-04-13 |
Find all providers in zip 71485 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
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.