HOLLOWAY RURAL MEDICAL CLINIC LLC. (NPI# 1336217439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336217439 |
| Entity Type | Organization |
| Organization Name | HOLLOWAY RURAL MEDICAL CLINIC LLC. |
| Other Organization Name | HOLLOWAY RURAL HEALTH CLINIC |
| Practice Address |
10115 Highway 28 E Pineville LA 71360-0746 |
| Practice Telephone | 3184661410 |
| Practice Fax Number | 3184661409 |
| Mailing Telephone | 3184661410 |
| Mailing Fax Number | 3184661409 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-11-19 |
| Authorized Official Name | MRS. RONDA A ROSIER (OWNER) |
| Authorized Official Telephone | 3184661410 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1110876 | 05 |
| Other Name | Type Code |
|---|---|
| Holloway Rural Health Clinic | Doing Business As Name - Organization |
| Street Address |
10115 HIGHWAY 28 E |
| City | PINEVILLE |
| State | LA |
| Zip Code | 71360-0746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578110789 | Reneisha Armonii Roberts | Pharmacist | 3100 La-28, Pineville, LA 71360 | 2019-08-22 |
| 1396303145 | Tina Marie Lawhorn | Nurse Practitioner | 2945 Shreveport Hwy, Pineville, LA 71360 | 2019-06-05 |
| 1942773213 | Tioga Pharmacy LLC | Pharmacy | 5101 Shreveport Hwy, Pineville, LA 71360 | 2019-01-09 |
| 1649755497 | Jessica Wooten | Nurse Practitioner | 292 Jerry Lofton Rd, Pineville, LA 71360 | 2018-09-27 |
| 1215421995 | Elizabeth Simon-clark | Counselor | Central La State Hospital Unit 6 Meadows Lane, Pineville, LA 71360 | 2018-06-18 |
| 1982116497 | Dm Properties of Rapides, LLC | Radiology | 2705 Highway 28 E Ste B, Pineville, LA 71360 | 2017-10-25 |
| 1508384587 | Marion Patrick Hazelton I | Counselor | Pathways Red River Treatment Center, 242 West Shamrock Ave Unit 6 Melody Lane, Pineville, LA 71360 | 2017-08-30 |
| 1669902557 | Jessica Williams | Social Worker | Unit 6 Wing A Meadow Lane, Pineville, LA 71360 | 2017-06-14 |
| 1104365840 | Naomi Gates | Social Worker | 242 W Shamrock Unit 1, Pineville, LA 71360 | 2017-02-14 |
| 1861930224 | Sharon Humphrey | Counselor | 5400 Service Rd B206, Pineville, LA 71360 | 2017-02-06 |
| Find all providers in zip 71360 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1386191989 | Sgoh Acquisition, Inc. | Clinic/Center | 412 Us Highway 71, Suite J & I, Pineville, MO 64856-9310 | 2016-09-01 |
| 1063861359 | Pineville Community Hospital Association, Inc. | Clinic/Center | 121 W Virginia Ave, Pineville, KY 40977-1661 | 2016-06-07 |
| 1982009940 | Talmadge V Hays Psc | Clinic/Center | 121 W Virginia Ave, Pineville, KY 40977-1661 | 2014-11-03 |
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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.