NPIMap

Organization Active NPI

Bienville Medical Center Physician Group

  • Critical Access Hospital
  • Arcadia, LA
National Provider Identifier
1053589697
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
BIENVILLE MEDICAL CENTER PHYSICIAN GROUP
Practice address
1175 Pine St
Suite 200
Arcadia, LA 71001-3113
Phone
(318) 629-5340
Fax
(318) 221-8205
NPI assigned
Feb 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Rock Bordelon
Title
Ceo
Phone
(318) 221-3202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

1175 Pine St
Suite 200
Arcadia, LA 71001-3113

Mailing address

1175 Pine St
Suite 200
Arcadia, LA 71001-3113

Other identifiers 1

IdentifierTypeStateIssuer
1707023MedicaidLA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1053589697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 PINE ST",
            "address_2": "SUITE 200",
            "city": "ARCADIA",
            "state": "LA",
            "postal_code": "710013113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 PINE ST",
            "address_2": "SUITE 200",
            "city": "ARCADIA",
            "state": "LA",
            "postal_code": "710013113",
            "telephone_number": "318-629-5340",
            "fax_number": "318-221-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIENVILLE MEDICAL CENTER PHYSICIAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "BORDELON",
        "authorized_official_first_name": "ROCK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-221-3202"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1707023",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.