DAVID ALAN TIMM (NPI# 1407025711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407025711 |
| Entity Type | Organization |
| Organization Name | DAVID ALAN TIMM |
| Other Organization Name | PEDIATRIC & ADOLESCENT CLINIC |
| Practice Address |
1806 Carter Street Vidalia LA 71373-3115 |
| Mailing Address |
308 Highland Blvd Natchez MS 39120-4611 |
| Practice Telephone | 3183367172 |
| Practice Fax Number | 3183367172 |
| Mailing Telephone | 6014427676 |
| Mailing Fax Number | 6014429590 |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2009-12-18 |
| Authorized Official Name | MS. STEPHANIE P RIFE (BUSINESS MGR) |
| Authorized Official Telephone | 6014427676 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1021849 | 05 |
| Other Name | Type Code |
|---|---|
| PEDIATRIC & ADOLESCENT CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710015318 | David Alan Timm | Pediatrics | 1806 Carter St, Vidalia, LA 71373-3115 | 2007-03-02 |
| 1174608020 | David Alan Timm | Social Worker | 308 Highland Blvd, Natchez, MS 39120-4611 | 2006-10-26 |
| Street Address |
1806 CARTER STREET |
| City | VIDALIA |
| State | LA |
| Zip Code | 71373-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513494 | Total Urgent Care | Clinic/Center | 4014 Carter Street, Vidalia, LA 71373 | 2020-03-13 |
| 1609412097 | Hulin Urgent Care Services, LLC | Clinic/Center | 4319 Highway 84, Vidalia, LA 71373 | 2019-11-21 |
| 1720562556 | Neashion Marie Davis | Counselor | 1644 B Carter Street. Suite #2, Vidalia, LA 71373 | 2018-09-18 |
| 1992292403 | Angelica Francheska Woods | Counselor | 1644 B. Carter Street Suite 2, Vidalia, LA 71373 | 2018-04-19 |
| 1164973780 | Linda Sherbia | Counselor | 1644 B Carter St., Suite 2, Vidalia, LA 71373 | 2016-10-19 |
| 1518418045 | Cheryl Clark | Case Manager/Care Coordinator | 1644 B Carter Suite 2, Vidalia, LA 71373 | 2016-10-19 |
| 1972054500 | Sherry Cade | Counselor | 1644 B Carter Street, Suite 2, Vidalia, LA 71373 | 2016-10-19 |
| 1457801136 | Sarai Johnson | Counselor | 1644 B Carter Street Suite 2, Vidalia, LA 71373 | 2016-10-06 |
| 1053766410 | Erin Fournet Woodruff | Physical Therapist | 402 Holly Street, Vidalia, LA 71373 | 2016-05-04 |
| 1184084113 | Troy Nolan Thomas Jr. | Counselor | 4012 Carter St., Vidalia, LA 71373 | 2016-03-03 |
| Find all providers in zip 71373 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508910241 | Rural Health Center of Southeast Ga.,inc. | Clinic/Center | 300 Arlington Dr., Vidalia, GA 30474 | 2007-01-22 |
| 1710043237 | Vpc Inc | Clinic/Center | 414 Lugenia Dr, Vidalia, GA 30474-7210 | 2006-12-29 |
| 1780190322 | Concordia Parish Hospital Service District Number One | Clinic/Center | 1643 Carter St, Vidalia, LA 71373-3156 | 2017-12-19 |
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| 1720606478 | Dr Lawanda Lamar Bellamy Md A Professional Medical Corporation | Clinic/Center | 1307 Crowley-rayne Hwy, Suite B, Crowley, LA 70526 | 2020-07-09 |
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| 1184260937 | Children's International, LLC | Clinic/Center | 5151 Plank Rd Ste 190, Baton Rouge, LA 70805-3501 | 2019-11-26 |
| 1003467440 | Clhg-acadian LLC | Clinic/Center | 151 Hill St Ste 102, Eunice, LA 70535-5845 | 2019-09-26 |
| 1164073524 | Tangi Wellness & Health | Clinic/Center | 906 C M Fagan Dr Ste B3, Hammond, LA 70403-6056 | 2019-09-26 |
| 1679126510 | Pediatric Group of Acadiana, LLC | Clinic/Center | 1307 Crowley Rayne Hwy Ste C, Crowley, LA 70526-8210 | 2019-07-19 |
| 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.