Charles J, Aswell III MD a Prof Medical Corp

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

CHARLES J, ASWELL III MD A PROF MEDICAL CORP

Doing business as

Aswell Rural Health Clinic

Practice address

503 Jack Miller Rd
Suite a
Ville Platte, LA 70586-5607

Phone

(337) 363-7474

NPI assigned

Nov 19, 2012

Last updated

Oct 2, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Selena Dutton

Title

Practice Administrator

Phone

(337) 363-7474

Specialties & licenses 1

Addresses

Other names 1

• ASWELL RURAL HEALTH CLINIC Doing business as

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1033453774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 JACK MILLER RD",
            "address_2": "SUITE A",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705865607",
            "telephone_number": "337-363-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 JACK MILLER RD",
            "address_2": "SUITE A",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705865607",
            "telephone_number": "337-363-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES J, ASWELL III MD A PROF MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "DUTTON",
        "authorized_official_first_name": "SELENA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "337-363-7474",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASWELL RURAL HEALTH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rural Health Clinic/Center in Ville Platte, LA
• Providers in Ville Platte, LA by specialty
• Rural Health Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.