PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA, INC (NPI# 1710427455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710427455 |
Entity Type | Organization |
Organization Name | PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA, INC |
Other Organization Name | RKM LORANGER |
Practice Address |
54016 Highway 1062 Loranger LA 70446-3538 |
Mailing Address |
Po Box 395 Clinton LA 70722-0395 |
Practice Telephone | 9856069000 |
Practice Fax Number | 2256833411 |
Mailing Telephone | 2256835292 |
Mailing Fax Number | 2256833411 |
Enumeration Date | 2017-02-28 |
Last Update Date | 2020-09-10 |
Authorized Official Name | MRS. GINGER A HUNT (CEO) |
Authorized Official Telephone | 2256835292 |
Authorized Official Credential | NP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 2442112 | 05 |
Other Name | Type Code |
---|---|
RKM Loranger | Doing Business As Name - Organization |
RKM Primary Care Loranger | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639559958 | Primary Care Providers for A Healthy Feliciana, Inc | Clinic/Center | 27124 Hwy 42, Springfield, LA 70462-7979 | 2015-06-02 |
1871692483 | Primary Care Providers for A Healthy Feliciana, Inc | Clinic/Center | 10410 Plank Rd, Clinton, LA 70722-3710 | 2006-09-21 |
1619230091 | Primary Care Providers for A Healthy Feliciana, Inc | Social Worker | 11990 Jackson St, Clinton, LA 70722-3210 | 2012-06-20 |
1770760902 | Primary Care Providers for A Healthy Feliciana, Inc | Clinic/Center | 203 Allendale Dr, Port Allen, LA 70767-3219 | 2008-01-30 |
Street Address |
54016 HIGHWAY 1062 |
City | LORANGER |
State | LA |
Zip Code | 70446-3538 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992172621 | Family Healthcare of Loranger, LLC | Clinic/Center | 54033 Highway 1062, Suite B, Loranger, LA 70446 | 2015-08-28 |
1770843997 | Lighthouse Ranch for Boys Inc. | Community Based Residential Treatment Facility, Mental Illness | 51453 Hwy 443, Loranger, LA 70446 | 2012-05-22 |
1235360397 | Life-line Health Care | Technician | 53364 Cyprian Rd., Loranger, LA 70446 | 2009-08-06 |
1811192644 | Nathan David Forrest | Family Medicine | 24204 Hwy 40, Loranger, LA 70446 | 2007-06-20 |
1447618038 | Amber Elaine Landry | Nurse Practitioner | 54033 Highway 1062, Suite B, Loranger, LA 70446 | 2016-02-10 |
1649401795 | Life-line | Technician | 53364 Cyprian Rd., Loranger, LA 70446 | 2009-08-06 |
1073744132 | Life-line Health Care | Technician | 53364 Cyprian Rd., Loranger, LA 70446 | 2009-08-06 |
1588894992 | Nia Ellis | Technician | 53364 Cyprian Rd, Loranger, LA 70446-2220 | 2009-07-20 |
1598222077 | Kyleigh Grace Genco | Specialist/Technologist | 19239 Loranger Trce, Loranger, LA 70446-2303 | 2019-02-21 |
1669761870 | Amanda Maria Arevalo | Massage Therapist | 51539 Simmons Rd, Loranger, LA 70446-2447 | 2011-03-29 |
Find all providers in zip 70446 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
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.