STRAWBERRY PATCH PEDIATRICS LLC NPI 1346895638

NPI Information

  • NPI: 1346895638
  • Provider Name: STRAWBERRY PATCH PEDIATRICS LLC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • :
  • CLIA Number: 19D2172087
  • Address: 1054 SW RAILROAD AVE
    PONCHATOULA, LA
    ZIP 70454
  • Phone: (855) 869-9898

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NPI Details

STRAWBERRY PATCH PEDIATRICS LLC is a rural health clinic center in Ponchatoula, LA. STRAWBERRY PATCH PEDIATRICS LLC NPI is 1346895638. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1054 SW RAILROAD AVE
PONCHATOULA, LA
ZIP 70454-557
Phone: (855) 869-9898
Fax: (985) 401-9898

The provider's authorized official is Ernest Drake .
The authorized official title is Ceo and has the following contact phone number (225) 278-7691.

The CLIA number assigned to this NPI record is 19D2172087 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/5/2019 and was last updated on 1/28/2026.

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 HealthYes

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: 11/21/2025

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