INDEPENDENCE MEDICAL CLINIC, LLC


Address: 281 W 4th St, Independence, LA 70443-2386
Phone: 5043384268

INDEPENDENCE MEDICAL CLINIC, LLC (NPI# 1669897609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669897609
Entity Type Organization
Organization Name INDEPENDENCE MEDICAL CLINIC, LLC
Practice Address 281 W 4th St
Independence
LA 70443-2386
Mailing Address 7300 Lakeshore Dr Apt 10
New Orleans
LA 70124-2462
Practice Telephone 5043384268
Mailing Telephone 5043384268
Enumeration Date 2014-02-27
Last Update Date 2014-07-10
Authorized Official Name EDMOND WOOD (OWNER)
Authorized Official Telephone 5043384268
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1910864 05

Office Location

Street Address 281 W 4TH ST
City INDEPENDENCE
State LA
Zip Code 70443-2386

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184615726 Multipractice Clinic Clinic/Center 281 W 4th St, Independence, LA 70443-2386 2005-11-02
1336601723 Timothy Paul Martin Nurse Practitioner 281 W 4th St, Independence, LA 70443-2386 2019-04-03
1851630511 Alex Darrell Sharpless Dentist 281 W 4th St, Independence, LA 70443-2386 2013-01-31
1225375215 Ave' Maria Sears Social Worker 281 W 4th St, Independence, LA 70443-2386 2013-01-10
1356695811 Jacqueline Reynolds Overton Counselor 281 W 4th St, Independence, LA 70443-2386 2012-11-06
1083967731 Lori R Cardinale Dietitian, Registered 281 W 4th St, Independence, LA 70443-2386 2012-10-18
1437406857 Amanda M Olinde Advanced Practice Midwife 281 W 4th St, Independence, LA 70443-2386 2012-08-06
1053697599 Mia Trupiano Poche' Registered Nurse 281 W 4th St, Independence, LA 70443-2386 2011-10-28
1487966198 Dustin Christopher White Dentist 281 W 4th St, Independence, LA 70443-2386 2010-07-10
1033440391 Jeanene Toombs Robb Nurse Practitioner 281 W 4th St, Independence, LA 70443-2386 2010-01-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336696830 Nicole Blanchard Chapel Counselor 5001 Hwy 190, East Service Rd, Suite C6, Mandeville, LA 70443 2016-09-01
1043668783 Southeast Community Health Systems Clinic/Center 55420 N. Railroad Avenue, Independence, LA 70443 2016-06-02
1144614645 Wal-mart Stores East Lp Durable Medical Equipment & Medical Supplies 515 3rd Street, Independence, LA 70443 2015-03-23
1063842912 Moritha Johnson Licensed Practical Nurse 14175 Rev. J. White Rd, Independence, LA 70443 2013-11-13
1053749739 Southeast Community Health Systems Clinic/Center 336 East Railroad Avenue, Independence, LA 70443 2013-10-16
1689931370 Casey L Hastings Emergency Medicine 52579 Us State Route 51, Lallie Kemp, Independence, LA 70443 2012-04-18
1326345414 Alfaa House Community Center Psychiatric Hospital 306 W 4th Street, Independence, LA 70443 2011-02-25
1609177864 Charles R Genovese Jr Md Inc Specialist 312 E Rail Road Ave, Independence, LA 70443 2010-11-04
1437300233 L A Homecare 1 Inc In Home Supportive Care 146 Hwy 40, C, Independence, LA 70443 2008-10-10
1770758120 Ila Jean Cascio Speech-Language Pathologist 51642 Hwy 1065, Independence, LA 70443 2008-04-28
Find all providers in zip 70443

Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699306126 Integrated Medicine of Ohio LLC General Practice 6200 Rockside Woods Blvd N Ste 100, Independence, OH 44131-2392 2020-02-03
1821579798 Healthy Schools Missouri LLC General Practice 3675 S Noland Rd Ste 200, Independence, MO 64055-3369 2018-08-28
1275634859 Gary Owen Skinner General Practice 18675 East 39th Street, Suite M, Independence, MO 64057-1762 2006-09-26
1558377341 Thorne Medical Services, Ltd General Practice 139 E. Main Street, Independence, VA 24348-0766 2006-07-31
1154878122 Long and Associates Pain Therapy Inc General Practice 19550 E 39th St S, Suite 235, Independence, MO 64057-2358 2016-09-07
1245599976 Octave C Merveille General Practice 4201 S Hocker Dr, Independence, MO 64055-4723 2012-05-15
1427247808 Robert L Williams, D.o.,p.c. General Practice 4419 S Crysler Ave, Independence, MO 64055-5948 2007-10-22
1477753069 Annamay D Carlson General Practice 4419 S Crysler Ave, Independence, MO 64055-5948 2007-07-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497313670 Lake Professionals LLC General Practice 501 W Saint Mary Blvd Ste 210, Lafayette, LA 70506-4699 2019-06-03
1225519192 Healthy Schools Louisiana LLC General Practice 1801 Fairfield Ave Ste 101, Shreveport, LA 71101-4457 2018-08-28
1194205864 Herbert Gerard Haydel General Practice 4412 Elmwood Pkwy, Metairie, LA 70003-2829 2018-08-21
1013493725 Med-corp Management, L.L.C. General Practice 3801 Canal St Ste 100, New Orleans, LA 70119-6043 2018-07-16
1306341060 Ready Responders Louisiana LLC General Practice 1320 Magazine St Ste 203, New Orleans, LA 70130-4267 2018-03-26
1841791415 Alpha Medical Center, LLC General Practice 3648 Pontchartrain Dr Ste 100, Slidell, LA 70458-4816 2018-02-28
1710495627 Mayfield Advanced Medical, LLC General Practice 5419 Jackson St Ext Ste B, Alexandria, LA 71303-2322 2018-01-12
1568976413 Brandie A Smith General Practice 19115 Florida Ave., Suite A, Albany, LA 70711 2017-11-29
1003328444 Ochsner Clinic LLC General Practice 201 Decatur St, New Orleans, LA 70130-1015 2017-10-25
1548790470 Cure Global, LLC General Practice 229 Hidden Pines Dr, Pineville, LA 71360-2203 2017-06-13
Find all providers with the same taxonomy

Competitor

Search similar providers

City INDEPENDENCE
Zip Code 70443

Improve Information

Please comment or provide details below to improve the information on INDEPENDENCE MEDICAL CLINIC, LLC.

Dataset Information

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.

Trending Searches