DELTA MED CLINIC LLC (NPI# 1518570688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518570688 |
| Entity Type | Organization |
| Organization Name | DELTA MED CLINIC LLC |
| Practice Address |
1305 Fourth St Jonesville LA 71343-2123 |
| Mailing Address |
Po Box 246 Jonesville LA 71343-0246 |
| Practice Telephone | 3186578481 |
| Mailing Telephone | 3184036053 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-10-05 |
| Authorized Official Name | BRITTANY WILEY (MANAGER/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 3185416935 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2346971 | 05 |
| Street Address |
1305 FOURTH ST |
| City | JONESVILLE |
| State | LA |
| Zip Code | 71343-2123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306323472 | Jackuelyne Parker | Case Manager/Care Coordinator | 505 Mound St, Jonesville, LA 71343 | 2018-07-23 |
| 1245629260 | Catahoula Parish Hospital District No 2 | Clinic/Center | 900 Foster Drive, Jonesville, LA 71343 | 2015-01-14 |
| 1922124312 | Tillman Medical Group Pa | Specialist | 800 Audubon Dr, Jonesville, LA 71343 | 2007-03-21 |
| 1760412555 | Calmes and Adams, Inc. | Home Health | 2801 Fourth Street, Suite 1, Jonesville, LA 71343 | 2006-07-04 |
| 1205884699 | William C. Coney | Family Medicine | 904 First Street, Jonesville, LA 71343 | 2006-05-05 |
| 1083080568 | Olla Pharmacy | Pharmacy | 104 Mound St, Jonesville, LA 71343 | 2015-08-19 |
| 1073903910 | Kidcare Louisiana, LLC | Nurse Practitioner | 2801 Fourth St Ste 2, Jonesville, LA 71343 | 2015-01-30 |
| 1558418574 | John M Morgan | Pharmacist | 1806 Fourth St, Jonesville, LA 71343-2002 | 2007-01-04 |
| 1538687173 | Lauren Brooke Pardue | Pharmacist | 1806 Fourth St, Jonesville, LA 71343-2002 | 2017-09-05 |
| 1043361025 | Morgan Pharmacy Inc | Pharmacy | 1806 Fourth St, Jonesville, LA 71343-2002 | 2007-01-16 |
| Find all providers in zip 71343 | ||||
| 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 |
|---|---|---|---|---|
| 1366001984 | Dr Dulam Health Care Center | Clinic/Center | 904 First St, Jonesville, LA 71343-2108 | 2019-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871124859 | Lafayette Wellness Group | Clinic/Center | 1042 Camellia Blvd Apt 3412, Lafayette, LA 70508-6692 | 2020-01-29 |
| 1033687439 | Debra Vidrine, Health Care Services,llc | Clinic/Center | 1535 W Main St Ste 100, Ville Platte, LA 70586-2867 | 2018-11-05 |
| 1922591080 | Aca Clinic | Clinic/Center | 23823 Eden St, Plaquemine, LA 70764-3315 | 2018-06-12 |
| 1841794989 | West Wellness, LLC | Clinic/Center | 7941 Picardy Ave Ofc 2, Baton Rouge, LA 70809-3536 | 2018-03-22 |
| 1588195341 | Ann M Waguespack | Clinic/Center | 9736 Kinglet Dr, Baton Rouge, LA 70809-4611 | 2017-03-23 |
| 1104297720 | Southern Pediatric Clinic | Clinic/Center | 202 N Thomas Dr, Suite 1, Shreveport, LA 71107-6539 | 2015-10-08 |
| 1619355955 | Heavenly Touch Personal Care | Clinic/Center | 235 Olive St, Shreveport, LA 71104-2415 | 2015-05-07 |
| 1396135331 | Affinity Medical Center | Clinic/Center | 3143 N Roman St, New Orleans, LA 70117-6509 | 2015-01-29 |
| 1689081218 | Mps Healthcare, LLC | Clinic/Center | 16416 Spanish Ct, Greenwell Springs, LA 70739-5936 | 2014-07-15 |
| 1578821948 | Dyson & Dyson Inc. | Clinic/Center | 322 Messina St., Abbeville, LA 70510 | 2012-04-24 |
| Find all providers with the same taxonomy | ||||
| City | JONESVILLE |
| Zip Code | 71343 |
Please comment or provide details below to improve the information on DELTA MED CLINIC LLC.
| 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.