AFFINITY HEALTH GROUP, LLC (NPI# 1992103782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992103782 |
Entity Type | Organization |
Organization Name | AFFINITY HEALTH GROUP, LLC |
Other Organization Name | AFFINITY INDUSTRIAL MEDICINE CLINIC |
Practice Address |
130 Desiard St Suite 355 Monroe LA 71201-7319 |
Mailing Address |
920 Oliver Rd Suite D Monroe LA 71201-5702 |
Practice Telephone | 3188077875 |
Practice Fax Number | 3188126603 |
Mailing Telephone | 3188127559 |
Mailing Fax Number | 3188127563 |
Enumeration Date | 2014-12-11 |
Last Update Date | 2014-12-11 |
Authorized Official Name | MR. MIKE BREARD (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 3183610900 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Affinity Industrial Medicine Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437784907 | Affinity Health Group, LLC | Internal Medicine | 13348 Coursey Blvd, Baton Rouge, LA 70816-4970 | 2020-03-05 |
1457822991 | Affinity Health Group, LLC | Family Medicine | 920 Oliver Rd Ste A2, Monroe, LA 71201-5702 | 2018-12-10 |
1104274075 | Affinity Health Group, LLC | Clinical Medical Laboratory | 2516 Broadmoor Boulevard, Suite 1c, Monroe, LA 71201 | 2016-06-01 |
1427414549 | Affinity Health Group, LLC | Clinical Nurse Specialist | 1000 Jonesboro Rd, Beverage Division Plant 70, West Monroe, LA 71292-5925 | 2016-01-05 |
1316352677 | Affinity Health Group, LLC | Internal Medicine | 1 Bancroft Cir, Monroe, LA 71201-5101 | 2014-06-25 |
1750667481 | Affinity Health Group, LLC | Dietitian, Registered | 2408 Broadmoor Blvd Ste B, Monroe, LA 71201-2994 | 2011-10-26 |
1669767638 | Affinity Health Group, LLC | Dietitian, Registered | 920 Oliver Rd # J, Monroe, LA 71201-5702 | 2011-06-17 |
1023291226 | Affinity Health Group, LLC | Internal Medicine | 112 Saint. John Street, Monroe, LA 71201 | 2007-12-11 |
1902850035 | Affinity Health Group, LLC | Family Medicine | 261 Hwy 132, Mangham, LA 71259-0219 | 2006-05-22 |
1922617299 | Affinity Health Group, LLC | Pharmacy | 110 Saint John St, Monroe, LA 71201-7322 | 2020-07-23 |
Street Address |
130 DESIARD ST SUITE 355 |
City | MONROE |
State | LA |
Zip Code | 71201-7319 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063697019 | Detria S Jenkins | Counselor | 130 Desiard St, Suite 412, Monroe, LA 71201-7319 | 2008-01-08 |
1922382100 | J Monica Guerriero | Pharmacist | 130 Desiard St, Suite 300, Monroe, LA 71201-7319 | 2011-10-05 |
1467736843 | Kris Mckown | Pharmacist | 130 Desiard St, Suite 300, Monroe, LA 71201-7319 | 2011-10-04 |
1841588704 | Lori Leggitt Gaubert | Pharmacist | 130 Desiard St, Suite 300, Monroe, LA 71201-7319 | 2011-07-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043831035 | Tammy Price | Social Worker | 414 Pine Street, Monroe, LA 71201 | 2020-04-30 |
1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
1063050961 | James J Gregory | Social Worker | 4800 S Grand, Monroe, LA 71201 | 2019-12-11 |
1285271221 | William Fairley | Non-emergency Medical Transport (VAN) | 1002 N. 7th St., Apt. 4, Monroe, LA 71201 | 2019-12-10 |
1619431715 | Guidance Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1204 Stubbs Ave. Suite B, Monroe, LA 71201 | 2019-01-23 |
1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
1912476482 | Gbc Hope | Residential Treatment Facility, Emotionally Disturbed Children | 311 South 1st Street, Monroe, LA 71201 | 2018-11-14 |
1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
1699266643 | Melissa Anne De La O | Audiologist | 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 | 2018-05-25 |
1588153738 | Essential Family Medicine, LLC | Nurse Practitioner | 2014 Tower Dr. Ste A, Monroe, LA 71201 | 2018-05-03 |
Find all providers in zip 71201 |
Taxonomy Code | 261QX0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Occupational Medicine |
Definition to come... |
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1881063667 | Workforce Medical Center | Clinic/Center | 2201 Old Spanish Trl, Westlake, LA 70669-7800 | 2015-09-22 |
1427484146 | Occupational Health Centers of Louisiana, A Professional Corp | Clinic/Center | 2113 Airline Dr, Suite 100, Bossier City, LA 71111-3105 | 2013-09-26 |
1538408158 | Healthworks Med Group of Louisiana Professional Medical Corporation | Clinic/Center | 4101 Hwy 108 South East Gate, Westlake, LA 70669-8017 | 2013-02-01 |
1528303955 | Exxonmobil Corp. | Clinic/Center | 11675 Scotland/zachary Hwy, Baton Rouge, LA 70807 | 2012-12-12 |
1114292679 | Company Clinic of Louisiana, LLC | Clinic/Center | 5015 Shed Rd, Suite 500, Bossier City, LA 71111-5584 | 2012-03-16 |
1578861720 | Company Clinic of Louisiana, LLC | Clinic/Center | 502 Nella St, Minden, LA 71055-3034 | 2011-03-10 |
1184778201 | Louisiana Occupational Health Services | Clinic/Center | 3018 Jackson St, Suite 100, Alexandria, LA 71301-4743 | 2007-01-23 |
1184722357 | Westbank Industrial Medicine Clinic, LLC | Clinic/Center | 200 Lapalco Blvd, Ste. 1-b, Gretna, LA 70056-7113 | 2006-09-20 |
1043205446 | Primary Occupational Health Services, L.L.C. | Clinic/Center | 2510 N Alex Plaisance Blvd, Golden Meadow, LA 70357-2351 | 2005-09-13 |
1285121863 | True Quality Care | Clinic/Center | 40644 Ranch Rd, Slidell, LA 70461 | 2018-04-18 |
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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.