WK PLAIN DEALING MEDICAL CLINIC (NPI# 1912939687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912939687 |
| Entity Type | Organization |
| Organization Name | WK PLAIN DEALING MEDICAL CLINIC |
| Practice Address |
108 N Louisiana St Plain Dealing LA 71064-3446 |
| Mailing Address |
Po Box 3038 Shreveport LA 71133-3038 |
| Practice Telephone | 3183267272 |
| Practice Fax Number | 3183267282 |
| Mailing Telephone | 3182128946 |
| Mailing Fax Number | 3182124025 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2009-01-02 |
| Authorized Official Name | GREG J GAVIN (NETWORK ADMINISTRATOR) |
| Authorized Official Telephone | 3183267272 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1948306 | 05 |
| Street Address |
108 N LOUISIANA ST |
| City | PLAIN DEALING |
| State | LA |
| Zip Code | 71064-3446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679649362 | Kathleen Richardson | Nurse Practitioner | 108 N Louisiana St, Plain Dealing, LA 71064-3446 | 2006-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740782283 | Reginald Walker | Case Manager/Care Coordinator | 9626 Highway 3, Plain Dealing, LA 71064 | 2018-02-28 |
| 1124276068 | Martin Family Support Services | PACE Provider Organization | 248 Blankenship, 248 Blankenship, Plain Dealing, LA 71064 | 2008-09-04 |
| 1851547566 | Martin Family Support Services | Home Health | 248 Blankenship Road, Plain Dealing, LA 71064 | 2008-08-13 |
| 1720140346 | Ccmt, LLC | Pharmacy | 200 East Palmetto, Plain Dealing, LA 71064 | 2006-12-14 |
| 1720164379 | Patricia Webb | Nurse Practitioner | 112 Forest Street, Plain Dealing, LA 71064 | 2006-10-27 |
| 1760576011 | Kelly Pharmacy Inc Kelly Pharmacy & Gifts | Pharmacy | 302 E Palmetto, Plain Dealing, LA 71064 | 2006-10-03 |
| 1518905983 | Commcare Corporation | Skilled Nursing Facility | 309 S. Louisiana Street, Plain Dealing, LA 71064 | 2006-06-04 |
| 1992115695 | Patricia Dietrich | Pharmacist | 302 E Palmetto, Plain Dealing, LA 71064 | 2014-05-02 |
| 1154572451 | Martin Family Support Services | Home Health | 248 Blankenship Road, Plain Dealing, LA 71064 | 2008-10-06 |
| 1003340506 | Rolandria Mccauley | Counselor | 623 South Perrin St, Plain Dealing, LA 71064-0005 | 2017-04-12 |
| Find all providers in zip 71064 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 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 |
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| Find all providers with the same taxonomy | ||||
| City | PLAIN DEALING |
| Zip Code | 71064 |
Please comment or provide details below to improve the information on WK PLAIN DEALING MEDICAL CLINIC.
| 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.