PRIMARY HEALTH SERVICES CENTER (NPI# 1053604892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053604892 |
| Entity Type | Organization |
| Organization Name | PRIMARY HEALTH SERVICES CENTER |
| Other Organization Name | PHSC DENTAL CLINIC |
| Practice Address |
2914 Betin Ave Monroe LA 71201-7258 |
| Mailing Address |
Po Box 7495 Monroe LA 71211-7495 |
| Practice Telephone | 3183234450 |
| Practice Fax Number | 3183234430 |
| Mailing Telephone | 3183881250 |
| Mailing Fax Number | 3183880948 |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2019-03-07 |
| Authorized Official Name | MRS. CATHERINE M TONORE (CEO) |
| Authorized Official Telephone | 3183881250 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2177427 | 05 |
| Other Name | Type Code |
|---|---|
| PHSC Dental Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659827996 | Primary Health Services Center | Clinic/Center | 7604 Hwy 80, Grambling, LA 71245 | 2016-08-28 |
| 1407319080 | Primary Health Services Center | Pharmacy | 2913 Desiard St, Monroe, LA 71201-7207 | 2019-04-10 |
| 1104384205 | Primary Health Services Center | Clinic/Center | 301 Mcmillan Rd, West Monroe, LA 71291-5323 | 2019-03-07 |
| 1184111668 | Primary Health Services Center | Clinic/Center | 2945 Renwick St, Monroe, LA 71201-8146 | 2018-04-19 |
| 1316291495 | Primary Health Services Center | Clinic/Center | 2915 Betin Ave, Monroe, LA 71201-7257 | 2012-10-29 |
| 1629173869 | Primary Health Services Center | Clinic/Center | 850 S 2nd St, Monroe, LA 71202-2112 | 2006-09-13 |
| 1043315286 | Primary Health Services Center | Clinic/Center | 2913 Desiard St, Monroe, LA 71201-7207 | 2006-09-13 |
| Street Address |
2914 BETIN AVE |
| City | MONROE |
| State | LA |
| Zip Code | 71201-7258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891958989 | Lawrence Daffin Culpepper | Dentist | 2914 Betin Ave, Monroe, LA 71201-7258 | 2008-07-08 |
| 1336678572 | Long Ngoc Truong | Dentist | 2914 Betin Ave, Monroe, LA 71201 | 2017-06-10 |
| 1528482437 | Akram Mahmood Munasar | Dentist | 2914 Betin Ave, Monroe, LA 71201-7258 | 2014-02-12 |
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1538621289 | Ezras Choilim Health Center, Inc. | Clinic/Center | 49 Forest Rd Fl 3, Monroe, NY 10950-2923 | 2019-04-02 |
| 1548724784 | Family Medical Center of Michigan,inc | Clinic/Center | 5003 W Albain Rd Rm 195, Monroe, MI 48161-9558 | 2019-01-22 |
| 1467998831 | Family Medical Center of Michigan, Inc | Clinic/Center | 1135 Riverview Ave, Monroe, MI 48162-3033 | 2017-01-10 |
| 1508049008 | Sea-mar Community Health Center | Clinic/Center | 17707 W Main St, 1st Floor, Monroe, WA 98272-1967 | 2007-12-07 |
| 1235299140 | Benton County | Clinic/Center | 610 Dragon Dr, Monroe, OR 97456-9604 | 2006-12-11 |
| 1023655149 | Family Medical Center of Michigan,inc | Clinic/Center | 901 N Macomb St, Monroe, MI 48162-3088 | 2019-12-09 |
| 1184111668 | Primary Health Services Center | Clinic/Center | 2945 Renwick St, Monroe, LA 71201-8146 | 2018-04-19 |
| 1669833364 | Medlink Georgia Inc | Clinic/Center | 704 Breedlove Dr Ste B, Monroe, GA 30655-2054 | 2016-03-09 |
| 1689032385 | Family Medical Center of Michigan | Clinic/Center | 901 N Macomb St, Monroe, MI 48162-3088 | 2016-02-09 |
| Find all providers in MONROE | ||||
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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.