D GREGORY BELL MD AND WILLIS-KNIGHTON MEDICAL CENTER (NPI# 1801831169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801831169 |
Entity Type | Organization |
Organization Name | D GREGORY BELL MD AND WILLIS-KNIGHTON MEDICAL CENTER |
Practice Address |
1633 Marvel St Coushatta LA 71019-9022 |
Mailing Address |
Po Box 506 Coushatta LA 71019-0506 |
Practice Telephone | 3189322170 |
Practice Fax Number | 3189322242 |
Mailing Telephone | 3189322170 |
Mailing Fax Number | 3189322242 |
Enumeration Date | 2006-06-19 |
Last Update Date | 2012-06-08 |
Authorized Official Name | GREG J. GAVIN (NETWORK ADMINISTRATOR) |
Authorized Official Telephone | 3189322170 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | MEDICAID RURAL HEALTH | 193895 | 01 |
LA | 2143263 | 05 |
Street Address |
1633 MARVEL ST |
City | COUSHATTA |
State | LA |
Zip Code | 71019-9022 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710984513 | Wyche Taylor Coleman Jr. | Emergency Medicine | 1633 Marvel St, Coushatta, LA 71019-9022 | 2005-07-07 |
1437639952 | Jeanette Tilley | Nurse Practitioner | 1633 Marvel St, Coushatta, LA 71019-9022 | 2018-08-14 |
1902391170 | Amanda Keator Celles | Nurse Practitioner | 1633 Marvel St, Coushatta, LA 71019-9022 | 2018-06-28 |
1366730558 | Jere Welch Thompson | Nurse Practitioner | 1633 Marvel St, Coushatta, LA 71019-9022 | 2011-07-21 |
1487865937 | Martin John Carter | Emergency Medicine | 1633 Marvel St, Coushatta, LA 71019-9022 | 2007-05-25 |
1306979554 | Mary Kate Young | Nurse Practitioner | 1633 Marvel St, Coushatta, LA 71019-9022 | 2007-03-14 |
1912935727 | Don Gregory Bell | Family Medicine | 1633 Marvel St, Coushatta, LA 71019-9022 | 2006-06-29 |
1740261650 | Gavin F Chico | Specialist | 1633 Marvel St, Coushatta, LA 71019-9022 | 2005-11-08 |
1780673665 | Christopher S. Snead | Internal Medicine | 1633 Marvel St, Coushatta, LA 71019-9022 | 2005-10-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255898763 | Saint Mark Hospice and Palliative Care LLC | Hospice Care, Community Based | Saint Mark Hospice and Palliative Care LLC, 298 Army Rd, Coushatta, LA 71019 | 2019-02-21 |
1750824900 | Ruby Braxton | Counselor | 936 E. Carroll Street, Coushatta, LA 71019 | 2016-11-21 |
1447621222 | Ranette Smith | Counselor | 1414 Leigh Street, Coushatta, LA 71019 | 2015-10-19 |
1205157237 | Red River Parish Police Jury | Ambulance | 525 Rush Street, Coushatta, LA 71019 | 2010-06-14 |
1255566857 | Medcore Specialty Pharmacy | Pharmacy | 1435 E. Carroll St., Suite B, Coushatta, LA 71019 | 2009-05-27 |
1437346186 | Specialty Rehabilitation Hospital, L.L.C. | Rehabilitation Hospital | 1110 Ringgold Avenue, Suite B, Coushatta, LA 71019 | 2007-09-26 |
1679785976 | Red River Council On Aging, Inc. | Adult Companion | 1825 Front Street, Coushatta, LA 71019 | 2007-05-07 |
1699805515 | Red River Association for Retarded Citizens Inc | Day Training, Developmentally Disabled Services | 1908 Hwy 71 S, Coushatta, LA 71019 | 2007-03-07 |
1629108386 | Red River Association for Retarded Citizens Inc | Day Training, Developmentally Disabled Services | 1908 Hwy 71 South, Coushatta, LA 71019 | 2007-03-06 |
1245366251 | The Will of God Ministries Outreach Program | Preferred Provider Organization | 1113 Caliope Street, Coushatta, LA 71019 | 2007-02-26 |
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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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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.