MONTGOMERY CLINIC LLC (NPI# 1730320946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730320946 |
| Entity Type | Organization |
| Organization Name | MONTGOMERY CLINIC LLC |
| Practice Address |
641 Rowena St Montgomery LA 71454 |
| Mailing Address |
114 E 5th St Natchitoches LA 71457-5725 |
| Practice Telephone | 3183549348 |
| Mailing Telephone | 3183549348 |
| Mailing Fax Number | 3183549269 |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-03-18 |
| Authorized Official Name | MARY I LONG (OFFICER) |
| Authorized Official Telephone | 3183549348 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 022285 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
641 ROWENA ST |
| City | MONTGOMERY |
| State | LA |
| Zip Code | 71454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730429952 | Bjc Healthcare, LLC | Clinic/Center | 641 Rowena St, Montgomery, LA 71454 | 2013-02-25 |
| 1730425281 | Benjamin James Colvin | Registered Nurse | 641 Rowena St, Montgomery, LA 71454-6313 | 2013-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902257306 | Tara Sapp | Case Manager/Care Coordinator | 169 Duffy Ln, Montgomery, LA 71454 | 2016-06-27 |
| 1578947701 | Winn Community Health Center, Inc. | Social Worker | 900 Harrison Drive, Montgomery, LA 71454 | 2015-07-17 |
| 1801877287 | Montgomery Pharmacy LLC | Pharmacy | 1101 Caddo St, Montgomery, LA 71454 | 2005-11-11 |
| 1972977486 | Bartley Enterprise Drug Screening | Registered Nurse | 1101 Caddo Street, Montgomery, LA 71454-0271 | 2015-11-20 |
| 1366811697 | Donna Bartley | Registered Nurse | 1101 Caddo Steet, Montgomery, LA 71454-0271 | 2015-09-16 |
| 1083098610 | Winn Community Health Center, Inc. | Social Worker | 2580 Highway 122, Montgomery, LA 71454-5540 | 2015-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356539 | Behavioral Health Alternatives, LLC | Psychologist | 1718 W 2nd St, Montgomery, AL 36106-1502 | 2020-11-05 |
| 1851992143 | Sheri Lynn Brown | Counselor | 11803 Briarwood Ln, Montgomery, TX 77356-5496 | 2020-11-04 |
| 1306446125 | Julie Mcphillips | Physician Assistant | 961 W Kaisertown Rd, Montgomery, NY 12549-2317 | 2020-10-30 |
| 1407455009 | Theresa Denise Steele | Marriage & Family Therapist | 802 E Fairview Ave, Montgomery, AL 36106-1818 | 2020-10-23 |
| 1568061307 | Bhg Lxxiii, LLC | Clinic/Center | 1714 Platt Place, Montgomery, AL 36117 | 2020-10-22 |
| 1578162376 | Kasey Leigh Byrd | Counselor | 106 Pine Crest Cir, Montgomery, TX 77316-1471 | 2020-10-22 |
| 1861091845 | Alvine M Koumpo | Registered Nurse | 65 Tweddle Farm Ln, Montgomery, NY 12549-2848 | 2020-10-21 |
| 1700485117 | Micah Winn Hines | Speech-Language Pathologist | 9900 Barnsley Ct, Montgomery, OH 45242-6302 | 2020-10-19 |
| 1235738477 | Kimberly Barnes | Home Health | 10612 Harcourt Trce, Montgomery, AL 36117-6073 | 2020-10-19 |
| 1457950727 | Encouraging Words Speech Therapy Services | Speech-Language Pathologist | 3093 Carter Hill Rd, Montgomery, AL 36111-1801 | 2020-10-19 |
| Find all providers in MONTGOMERY | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669854725 | Daugherty Medical Group Pllc | Internal Medicine | 9200 Montgomery Rd Suite 18a, Montgomery, OH 45242 | 2015-06-25 |
| 1548605389 | Albert E. Lester M.d., P.a. | Internal Medicine | 3091 Gaston Ave Ste B, Montgomery, AL 36105-1541 | 2013-05-07 |
| 1205182508 | John Kenneth Porter | Internal Medicine | 1758 Park Pl Ste 100b, Montgomery, AL 36106-1133 | 2012-07-24 |
| 1841565769 | Malcolm Brown Md LLC | Internal Medicine | 2214 Rosemont Dr, Montgomery, AL 36111-1009 | 2012-03-09 |
| 1669747671 | Norman A Garrison Md LLC | Internal Medicine | 9419 Winfield Pl, Montgomery, AL 36117-5177 | 2012-03-09 |
| 1245556307 | Justin William Smith | Internal Medicine | 273 Winton Blount Loop, Montgomery, AL 36117-3507 | 2010-04-14 |
| 1376706846 | Roopa Dhawan Gandhi | Internal Medicine | 11059 Grandstone Ln, Montgomery, OH 45249-3418 | 2008-07-05 |
| 1619137528 | Celtin Robertson | Internal Medicine | 2820 Fairlane Dr, Ste A8, Montgomery, AL 36116-1631 | 2008-06-13 |
| 1720265416 | Scott Bell Md, P.C. | Internal Medicine | 7020 Sydney Curv, Montgomery, AL 36117-3508 | 2008-01-25 |
| 1871792309 | Hospital Docs Pa | Internal Medicine | 15595 Zoe Loop Dr, Montgomery, TX 77316-5440 | 2007-07-14 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 71454 |
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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.