NPIMap

Organization Active NPI

Family Medical Clinic of Homer, la Inc

Doing business as Clifton W. Salmon, M.D.

  • Family Medicine Physician
  • Homer, LA
National Provider Identifier
1033175906
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
018524 Issued in LA
Legal business name
FAMILY MEDICAL CLINIC OF HOMER, LA INC
Doing business as
Clifton W. Salmon, M.D.
Practice address
104 Morris Cir
Homer, LA 71040-2100
Phone
(318) 927-6777
Fax
(318) 927-6714
NPI assigned
Apr 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Clifton Wales Salmon, M.D.NPI 1346205507
Title
Owner
Phone
(318) 927-6777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 018524 LA Primary

Addresses

Primary practice location

104 Morris Cir
Homer, LA 71040-2100

Mailing address

PO Box 300
104 Morris Circle
Homer, LA 71040-0300
Phone (318) 927-6777

Other identifiers 1

IdentifierTypeStateIssuer
1443620MedicaidLA

Other names 1

  • Clifton W. Salmon, M.D. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033175906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300",
            "address_2": "104 MORRIS CIRCLE",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "710400300",
            "telephone_number": "318-927-6777",
            "fax_number": "318-927-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MORRIS CIR",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "710402100",
            "telephone_number": "318-927-6777",
            "fax_number": "318-927-6714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CLINIC OF HOMER, LA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SALMON",
        "authorized_official_first_name": "CLIFTON",
        "authorized_official_middle_name": "WALES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-927-6777",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "018524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1443620",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clifton W. Salmon, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Homer, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.