JIMMY R COUGHRAN A MEDICAL CORPORATION NPI 1982748224

NPI Information

NPI: 1982748224
Provider Name: JIMMY R COUGHRAN A MEDICAL CORPORATION
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
101 FAIR AVENUE
WINNSBORO, LA
ZIP 71295
Phone: (318) 435-8020
Get Directions

JIMMY R COUGHRAN A MEDICAL CORPORATION is a family medicine in Winnsboro, LA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JIMMY R COUGHRAN A MEDICAL CORPORATION NPI is 1982748224. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

101 FAIR AVENUE
WINNSBORO, LA
ZIP 71295-116
Phone: (318) 435-8020

The provider's authorized official is Jimmy R Coughran .
The authorized official title is Owner and has the following contact phone number (318) 435-8020.

The enumeration date for this NPI number is 2/19/2007 and was last updated on 12/13/2012.

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
1	207Q00000X	Family Medicine		021579	LOUISIANA	Yes

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
1	5287021	OTHER	LOUISIANA	AETNA PROVIDER NUMBER
2	080140677	MEDICARE ID-TYPE UNSPECIFIED	LOUISIANA	RAILROAD MEDICARE
3	5CN24	MEDICARE PIN	LOUISIANA
4	1449130	MEDICAID	LOUISIANA
5	433374280A	OTHER	LOUISIANA	BCBS OF LA PROVIDER NO
6	L92023	OTHER	LOUISIANA	VANTAGE PROVIDER NO

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

NPI Synchronization or Removal

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