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SAVOY MEDICAL MANAGEMENT GROUP INC NPI 1609234012


NPI Information

NPI: 1609234012
Provider Name: SAVOY MEDICAL MANAGEMENT GROUP, INC

Doing Business As: BASILE RURAL HEALTH CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 19D2109046

Address:
1431 FUSELIER AVE
BASILE, LA
ZIP 70515
Phone: (337) 432-0200
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SAVOY MEDICAL MANAGEMENT GROUP, INC is a rural health clinic center in Basile, LA. SAVOY MEDICAL MANAGEMENT GROUP, INC NPI is 1609234012. The provider is registered as an organization entity type.
The provider Is Doing Business As Basile Rural Health Clinic.

The provider's business location address is:

1431 FUSELIER AVE
BASILE, LA
ZIP 70515-583
Phone: (337) 432-0200
Fax: (337) 432-0202

The provider's authorized official is Michael W. Johnson .
The authorized official title is President and has the following contact phone number (337) 468-0355.

The CLIA number assigned to this NPI record is 19D2109046 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/1/2016 and was last updated on 8/8/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural Health2203783121LOUISIANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12455478MEDICAIDLOUISIANA
2193924OTHERLOUISIANAMEDICARE RHC CCN

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: 5/5/2024

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