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MINDEN PHYSICIAN PRACTICES LLC NPI 1699834473


NPI Information

NPI: 1699834473
Provider Name: MINDEN PHYSICIAN PRACTICES, LLC

Doing Business As: MINDEN PRIMARY CARE

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

Specialization: Rural Health

CLIA Number: 19D2133665

Address:
1111 HOMER RD
MINDEN, LA
ZIP 71055
Phone: (318) 377-7500
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MINDEN PHYSICIAN PRACTICES, LLC is a rural health clinic center in Minden, LA. MINDEN PHYSICIAN PRACTICES, LLC NPI is 1699834473. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Minden Primary Care.

The provider's business location address is:

1111 HOMER RD
MINDEN, LA
ZIP 71055-027
Phone: (318) 377-7500
Fax: (318) 371-3594

The provider's authorized official is Richard T. Merk .
The authorized official title is Officer/authorized Official and has the following contact phone number (318) 226-8202.

The CLIA number assigned to this NPI record is 19D2133665 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/7/2006 and was last updated on 8/19/2020.


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
1207Q00000XFamily MedicineNo
2261QR1300XClinic/CenterRural HealthYes

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
11043630MEDICAIDLOUISIANA

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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