ACA CLINIC (NPI# 1922591080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922591080 |
| Entity Type | Organization |
| Organization Name | ACA CLINIC |
| Practice Address |
23823 Eden St Plaquemine LA 70764-3315 |
| Mailing Address |
59185 Postell Ave Plaquemine LA 70764-3462 |
| Practice Telephone | 2252847158 |
| Mailing Telephone | 2252847158 |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2019-11-11 |
| Authorized Official Name | DR. ANDREA ANDERSON PRUITT (NURSE PRACTITIONER) |
| Authorized Official Telephone | 2252847158 |
| Authorized Official Credential | DNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2384201 | 05 |
| Street Address |
23823 EDEN ST |
| City | PLAQUEMINE |
| State | LA |
| Zip Code | 70764-3315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659841138 | Access Health Louisiana | Clinic/Center | 58650 Iron Farm Road, Plaquemine, LA 70764 | 2018-11-28 |
| 1982194817 | The Harmony Center, Inc. | Family Medicine | 59213 Riverwest Dr., Plaquemine, LA 70764 | 2018-05-16 |
| 1770085938 | Angelica Darlynetta Peterson | Counselor | 58205 Bayou Jacob Rd, Plaquemine, LA 70764 | 2018-03-05 |
| 1841727500 | Bruce Greene | Counselor | 22900 Blakeney Dr, Plaqumine, LA 70764 | 2017-05-12 |
| 1104359801 | Gina J. Martin | Counselor | 58155 Chinn Street, Suite A, Plaquemine, LA 70764 | 2017-04-10 |
| 1831555713 | Dwayne Harmson | Social Worker | 23905 Castle Court St, Plaquemine, LA 70764 | 2016-01-08 |
| 1356718662 | St Gabriel Health Clinic, Inc | Clinic/Center | 24360 Enterprise Boulevard, Plaquemine, LA 70764 | 2015-08-24 |
| 1013344621 | Ochnser Health Center-eyecare Iberville | Eyewear Supplier (Equipment, not the service) | 25420 La Highway 1, Suite E, Plaquemine, LA 70764 | 2013-09-27 |
| 1861657421 | Signs & Wonders Community Mental Health Center LLC | Clinic/Center | 25341 Hwy 1 South, Plaquemine, LA 70764 | 2008-07-23 |
| 1205018389 | Physicians Imaging - Iberville LLC | Clinic/Center | 59295 River West Drive, Suite D, Plaquemine, LA 70764 | 2007-11-30 |
| Find all providers in zip 70764 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104258722 | Availity Case Management Services | Clinic/Center | 57935 Mcdaniel St, Plaquemine, LA 70764-2039 | 2013-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871124859 | Lafayette Wellness Group | Clinic/Center | 1042 Camellia Blvd Apt 3412, Lafayette, LA 70508-6692 | 2020-01-29 |
| 1033687439 | Debra Vidrine, Health Care Services,llc | Clinic/Center | 1535 W Main St Ste 100, Ville Platte, LA 70586-2867 | 2018-11-05 |
| 1841794989 | West Wellness, LLC | Clinic/Center | 7941 Picardy Ave Ofc 2, Baton Rouge, LA 70809-3536 | 2018-03-22 |
| 1588195341 | Ann M Waguespack | Clinic/Center | 9736 Kinglet Dr, Baton Rouge, LA 70809-4611 | 2017-03-23 |
| 1104297720 | Southern Pediatric Clinic | Clinic/Center | 202 N Thomas Dr, Suite 1, Shreveport, LA 71107-6539 | 2015-10-08 |
| 1619355955 | Heavenly Touch Personal Care | Clinic/Center | 235 Olive St, Shreveport, LA 71104-2415 | 2015-05-07 |
| 1396135331 | Affinity Medical Center | Clinic/Center | 3143 N Roman St, New Orleans, LA 70117-6509 | 2015-01-29 |
| 1689081218 | Mps Healthcare, LLC | Clinic/Center | 16416 Spanish Ct, Greenwell Springs, LA 70739-5936 | 2014-07-15 |
| 1578821948 | Dyson & Dyson Inc. | Clinic/Center | 322 Messina St., Abbeville, LA 70510 | 2012-04-24 |
| 1427326446 | M L D Institute of Louisiana, LLC | Clinic/Center | 1274 Saint Tammany Ave, Slidell, LA 70460 | 2011-12-05 |
| Find all providers with the same taxonomy | ||||
| City | PLAQUEMINE |
| Zip Code | 70764 |
Please comment or provide details below to improve the information on ACA 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.