PROGRESSIVE ACUTE CARE OAKDALE, LLC (NPI# 1295776680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295776680 |
| Entity Type | Organization |
| Organization Name | PROGRESSIVE ACUTE CARE OAKDALE, LLC |
| Other Organization Name | ELIZABETH FAMILY HEALTH CLINIC |
| Practice Address |
504 West Main St Elizabeth LA 70638 |
| Mailing Address |
Po Box 629 Oakdale LA 71463-0629 |
| Practice Telephone | 3183353700 |
| Practice Fax Number | 3182153024 |
| Mailing Telephone | 3183353700 |
| Mailing Fax Number | 3182153024 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-05-12 |
| Authorized Official Name | WAYNE THOMPSON (CFO) |
| Authorized Official Telephone | 9856247401 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Elizabeth Family Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043513385 | Progressive Acute Care Oakdale, LLC | Clinic/Center | 11424 Hwy 165 South, Forest Hill, LA 71430 | 2010-12-08 |
| 1770686149 | Progressive Acute Care Oakdale, LLC | Clinic/Center | 616 Court St, Oberlin, LA 70655 | 2006-09-07 |
| Street Address |
504 WEST MAIN ST |
| City | ELIZABETH |
| State | LA |
| Zip Code | 70638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033699525 | Dodie Gordon Daniels | Nurse Practitioner | 504 W. Main Street, Elizabeth, LA 70638 | 2018-08-15 |
| 1457454001 | Brian Eric Fussell | Dentist | 802 Riverside Drive, Franklinton, LA 70638 | 2006-09-07 |
| 1871019471 | Emily Marcantel Cox | Nurse Practitioner | 504 W Main St, Elizabeth, LA 70638 | 2017-08-16 |
| 1205930450 | Clhg-oakdale, LLC | Clinic/Center | 504 West Main, Oakdale, LA 70638-0001 | 2006-09-09 |
| 1184147787 | Melanie Welch | Nurse Practitioner | 4855 Highway 10 Ste C, Elizabeth, LA 70638-4800 | 2017-07-25 |
| 1497095681 | Louisiana Health Care Practitioners LLC | Clinic/Center | 4855 Highway 10 West, Suite 3, Elizabeth, LA 70638-4855 | 2013-02-25 |
| 1912080730 | Mica Mcdaniel | Nurse Practitioner | 4855 Hwy 10 W, Elizabeth, LA 70638-6343 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861750 | Columbia Dental of Elizabeth Pa | Dentist | 151 Jefferson Avenue, Elizabeth, NJ 07201 | 2020-11-04 |
| 1295336824 | Rebecca G Oliveira | Physical Therapist | 63 Elmora Ave, Elizabeth, NJ 07202-1651 | 2020-11-02 |
| 1811596307 | Kinjal J Mehta | Dentist | 151 Jefferson Ave, Elizabeth, NJ 07201-2490 | 2020-10-26 |
| 1396344511 | Robin Hoover | Technician | 56 Pioneer Cir Apt 301, Elizabeth, WV 26143-0087 | 2020-10-19 |
| 1326645664 | Amed Bientz Mendez | Dentist | 700 N Broad St Ste 101, Elizabeth, NJ 07208-2310 | 2020-10-08 |
| 1487269916 | Syren Gonzalez Perez | Dentist | 408 Vine St Apt 1b, Elizabeth, NJ 07202-2350 | 2020-09-11 |
| 1366057978 | Betty Jeanellan Green | Technician | 157 Railroad Dr, Elizabeth, WV 26143-5107 | 2020-09-10 |
| 1134734627 | Sheila Gibson | Technician | 68 W Crystal Lake Way, Elizabeth, WV 26143-5776 | 2020-09-10 |
| 1295347235 | Linda Mae Sams | Technician | 88 Churchill St., Elizabeth, WV 26143 | 2020-08-20 |
| 1265043012 | Balancerehab and Physical Therapy LLC | Physical Therapist | 406a N Broad St, Elizabeth, NJ 07208-3365 | 2020-08-14 |
| Find all providers in ELIZABETH | ||||
| 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 |
|---|---|---|---|---|
| 1801273396 | New Life Center Inc | Clinic/Center | 208 Commerce Pl Ste 500, Elizabeth, NJ 07201-2325 | 2015-05-04 |
| 1447646203 | Universal Care Group LLC | Clinic/Center | 1139 E Jersey St Ste 412, Elizabeth, NJ 07201-2446 | 2015-04-08 |
| 1720471543 | Sky Therapy Center LLC | Clinic/Center | 1139 E Jersey St Ste 426, Elizabeth, NJ 07201-2451 | 2015-03-18 |
| 1821494139 | Best Professional Facility Corp | Clinic/Center | 1139 E Jersey St Ste 201, Elizabeth, NJ 07201-2431 | 2014-11-13 |
| 1740681592 | Life Medical Center Inc | Clinic/Center | 1139 E Jersey St Ste 408, Elizabeth, NJ 07201-2446 | 2014-09-11 |
| 1811375611 | Md Medical Center Inc | Clinic/Center | 1139 E Jersey St Ste 201, Elizabeth, NJ 07201-2431 | 2015-05-12 |
| 1952790651 | Vida Sarkodie | Clinic/Center | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2015-01-18 |
| 1730589763 | Family Medical Group, P.C. | Clinic/Center | 700 N Broad St, Elizabeth, NJ 07208-2310 | 2014-08-27 |
| 1750630919 | Injury Brake Chiropractic | Clinic/Center | 1019 E Jersey St, Elizabeth, NJ 07201-5503 | 2012-09-04 |
| 1780836262 | Concentra Health Services, Inc. | Clinic/Center | 595 Division Street, Elizabeth, NJ 07201-2038 | 2008-10-16 |
| Find all providers in ELIZABETH | ||||
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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.