CONCORDIA PARISH HOSPITAL SERVICE DISTRICT NUMBER ONE (NPI# 1780190322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780190322 |
| Entity Type | Organization |
| Organization Name | CONCORDIA PARISH HOSPITAL SERVICE DISTRICT NUMBER ONE |
| Other Organization Name | LIVING WELL FAMILY CLINIC |
| Practice Address |
1643 Carter St Vidalia LA 71373-3156 |
| Mailing Address |
Po Box 111 Ferriday LA 71334-0111 |
| Practice Telephone | 3183368707 |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2020-09-10 |
| Authorized Official Name | SAMUEL B ELLARD (CEO) |
| Authorized Official Telephone | 3187576551 |
| 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 |
| Other Name | Type Code |
|---|---|
| LIVING WELL FAMILY CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952565335 | Concordia Parish Hospital Service District Number One | General Acute Care Hospital | 1700 Ee Wallace Blvd N, Ferriday, LA 71334-2239 | 2008-07-15 |
| 1679513600 | Concordia Parish Hospital Service District Number One | Family Medicine | 204 Serio Blvd, Ferriday, LA 71334-2015 | 2006-06-07 |
| 1144227935 | Concordia Parish Hospital Service District Number One | General Acute Care Hospital | 1700 N E E Wallace Blvd, Ferriday, LA 71334-2820 | 2005-07-07 |
| 1275852303 | Concordia Parish Hospital Service District Number One | Medicare Defined Swing Bed Unit | 1700 Ee Wallace Blvd N, Ferriday, LA 71334-2239 | 2010-05-28 |
| Street Address |
1643 CARTER ST |
| City | VIDALIA |
| State | LA |
| Zip Code | 71373-3156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821413535 | Living Well Family Clinic LLC | Clinic/Center | 1643 Carter St, Suite 1, Vidalia, LA 71373-3156 | 2014-03-04 |
| 1932648565 | Melissa Johnson | Nurse Practitioner | 1643 Carter St, Vidalia, LA 71373-3156 | 2017-02-15 |
| 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 |
|---|---|---|---|---|
| 1407025711 | David Alan Timm | Clinic/Center | 1806 Carter Street, Vidalia, LA 71373-3115 | 2008-02-21 |
| 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 |
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|---|---|---|---|---|
| 1356942155 | Clhg-ville Platte LLC | Clinic/Center | 804 E. Main Street, Ville Platte, LA 70586 | 2020-11-06 |
| 1568062446 | Lhcg Clxix, LLC | Clinic/Center | 821 N Union St, Opelousas, LA 70570-6313 | 2020-10-29 |
| 1760089791 | Blanchard Medical | Clinic/Center | 5948 N Market St, Shreveport, LA 71107-2017 | 2020-10-02 |
| 1922619238 | Pediatric Group of Acadiana, LLC | Clinic/Center | 818 W. Veterans Memorial, Kaplan, LA 70548 | 2020-08-11 |
| 1720606478 | Dr Lawanda Lamar Bellamy Md A Professional Medical Corporation | Clinic/Center | 1307 Crowley-rayne Hwy, Suite B, Crowley, LA 70526 | 2020-07-09 |
| 1669002002 | Franklin Parish Hospital Service Dist 1 | Clinic/Center | 7645 Gilbert Street, Gilbert, LA 71336 | 2020-01-24 |
| 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 |
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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.