JC CLINICAL SERVICES (NPI# 1730725003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730725003 |
| Entity Type | Organization |
| Organization Name | JC CLINICAL SERVICES |
| Practice Address |
831 W Main St Homer LA 71040-3322 |
| Mailing Address |
Po Box 729 Benton LA 71006-0729 |
| Practice Telephone | 8885051989 |
| Practice Fax Number | 3184041956 |
| Mailing Telephone | 8885051989 |
| Mailing Fax Number | 3184041956 |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |
| Authorized Official Name | JOHN S BANNISTER (DIRECTOR) |
| Authorized Official Telephone | 8885051989 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CLAIBORNE CLINICAL SERVICES | Doing Business As Name - Organization |
| Street Address |
831 W MAIN ST |
| City | HOMER |
| State | LA |
| Zip Code | 71040-3322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285157792 | Claiborne Ltc Pharmacy, LLC | Pharmacy | 831 W Main St, Homer, LA 71040-3322 | 2017-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609066646 | Homer Memorial Hospital | Nurse Anesthetist, Certified Registered | 620 East College St., Homer, LA 71040 | 2007-07-26 |
| 1881806164 | Southern Ingenuity Inc | Day Training, Developmentally Disabled Services | 598 Harmon Loop, Homer, LA 71040 | 2007-05-07 |
| 1104048214 | A and L of Northeast La Inc | Day Training, Developmentally Disabled Services | 911 West Main, Homer, LA 71040 | 2007-05-02 |
| 1356409619 | Southern Ingenuity Inc | Day Training, Developmentally Disabled Services | 3250 Hwy 79, Homer, LA 71040 | 2006-12-05 |
| 1851343529 | Claiborne Manor Nursing Home, LLC | Skilled Nursing Facility | 6942 Highway 79 North, Homer, LA 71040 | 2006-05-17 |
| 1679523807 | Larry Don Ezell | Emergency Medicine | 620 Ecollege Street, Homer, LA 71040 | 2006-05-10 |
| 1386856680 | Southern Ingenuity Inc | Day Training, Developmentally Disabled Services | 598 Harmon Loop, Homer, LA 71040 | 2007-05-07 |
| 1720290034 | Southern Ingenuity Inc | Day Training, Developmentally Disabled Services | 598 Harmon Loop, Homer, LA 71040 | 2007-05-07 |
| 1831137579 | Helen Denise Butler | Nurse Practitioner | 104 Morris Cir, Homer, LA 71040 | 2006-06-03 |
| 1245452234 | Melvin Harold Procell | Dentist | 5220 Highway 79, Homer, LA 71040-2002 | 2007-05-02 |
| Find all providers in zip 71040 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346544368 | William R Easton | General Practice | 2495 Bayridge Rd, Homer, AK 99603 | 2011-01-05 |
| 1629064019 | Harold David Tyler | General Practice | 620 E College St, Homer, LA 71040-3202 | 2005-09-21 |
| 1629081393 | Patricia M Delate | General Practice | 880 E End Rd, Homer, AK 99603-7201 | 2006-08-14 |
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|---|---|---|---|---|
| 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 | ||||
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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.