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PROGRESSIVE HEALTHCARE NPI 1376657817


NPI Information

NPI: 1376657817
Provider Name: PROGRESSIVE HEALTHCARE

Doing Business As: MONROE MEDICAL CLINIC

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 19D0464161

Address:
100 S 2ND ST
MONROE, LA
ZIP 71201
Phone: (318) 322-7836
Get Directions

PROGRESSIVE HEALTHCARE is a general practice in Monroe, LA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PROGRESSIVE HEALTHCARE NPI is 1376657817. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Monroe Medical Clinic.

The provider's business location address is:

100 S 2ND ST
MONROE, LA
ZIP 71201-537
Phone: (318) 322-7836
Fax: (318) 325-4438

The provider's authorized official is Thomas Charles Dansby .
The authorized official title is Owner and has the following contact phone number (318) 322-7836.

The CLIA number assigned to this NPI record is 19D0464161 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 10/18/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeMD020461LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
157592MEDICARE PINLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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