AVOYELLES PRIMARY HEALTH AND WELLNESS CENTER (NPI# 1972961100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972961100 |
Entity Type | Organization |
Organization Name | AVOYELLES PRIMARY HEALTH AND WELLNESS CENTER |
Practice Address |
1007 Shirley Rd Bunkie LA 71322-1544 |
Mailing Address |
1217 Willow Glen River Rd Alexandria LA 71302-5454 |
Practice Telephone | 3183467746 |
Mailing Telephone | 3184874400 |
Mailing Fax Number | 3184870525 |
Enumeration Date | 2016-02-02 |
Last Update Date | 2016-02-02 |
Authorized Official Name | MRS. PATRICIA L LEWIS (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 3184874400 |
Is Organization Subpart | Y |
Parent Organization Name | RAPIDES PRIMARY HEALTH CARE CENTER, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Street Address |
1007 SHIRLEY RD |
City | BUNKIE |
State | LA |
Zip Code | 71322-1544 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053945642 | Sarah Ann Hillman | Physical Therapist | 427 Evergreen Street, Bunkie, LA 71322 | 2020-02-24 |
1477054005 | Michelle Ciudadano | Case Manager/Care Coordinator | 109 Chevy Lane, Suite C, Bunkie, LA 71322 | 2018-02-28 |
1003332198 | Chelsea Garin | Counselor | 109 Chevy Lane, Suite C, Bunkie, LA 71322 | 2017-08-21 |
1457876872 | Tayressha Joy Harmason | Community/Behavioral Health | 1140 Shirley Road, Bunkie, LA 71322 | 2017-08-07 |
1942731294 | Adranell Christmas | Non-emergency Medical Transport (VAN) | 303 Martin Luther King Dr, Bunkie, LA 71322 | 2017-03-27 |
1477916252 | Bertha Wilson | Counselor | 313 James Street, Bunkie, LA 71322 | 2016-03-30 |
1831516087 | Casey Ann Kendall | Pharmacist | 109 Chevy Lane Suite B, Bunkie, LA 71322 | 2014-03-26 |
1952642407 | Stephanie L Simmons | Registered Nurse | 1536 Bordelon Rd, Bunkie, LA 71322 | 2013-03-08 |
1689861908 | Assisted Living Concepts Inc | Assisted Living Facility | 650 Pershing Avenue, Bunkle, LA 71322 | 2007-10-01 |
1932282126 | Pulmonary Services Inc | Durable Medical Equipment & Medical Supplies | 746 Nw Main, #9, Bunkie, LA 71322 | 2006-10-23 |
Find all providers in zip 71322 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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1013522879 | Marillac Community Health Centers | Clinic/Center | 1423 Saint Philip St, New Orleans, LA 70116-2933 | 2020-09-09 |
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1023629425 | Winn Community Health Center, Inc. | Clinic/Center | 2200 N Bolton Ave, Alexandria, LA 71303-4407 | 2020-08-11 |
1467061515 | Council for Advancement of Social Service and Education | Clinic/Center | 1560 Irving Place, Shreveport, LA 71101-4604 | 2020-07-24 |
Find all providers with the same taxonomy |
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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.