Organization Active NPI

Natchitoches Urgent Care Clinic

  • Urgent Care Clinic/Center
  • Natchitoches, LA
National Provider Identifier
1053635987
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
NATCHITOCHES URGENT CARE CLINIC
Practice address
615 Bienville St
Natchitoches, LA 71457-5730
Phone
(318) 356-5566
Fax
(318) 932-9906
NPI assigned
Mar 22, 2010
Last updated
Mar 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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

Authorized official

Name
Mrs. Lavora Wilson, APRN
Title
Owner/FNP
Phone
(318) 332-8219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

615 Bienville St
Natchitoches, LA 71457-5730

Mailing address

100 Morgan LN
Natchitoches, LA 71457-6077
Phone (318) 332-2288

National Provider Directory

National Provider Directory

Locations

321 Keyser Ave
Natchitoches, LA 71457
Phone (318) 356-5566

615 Bienville St
Natchitoches, LA 71457
Phone (318) 352-6800

Practitioners & affiliated clinicians

Practitioners 1

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": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1053635987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MORGAN LN",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576077",
            "telephone_number": "318-332-2288",
            "fax_number": "318-932-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 BIENVILLE ST",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575730",
            "telephone_number": "318-356-5566",
            "fax_number": "318-932-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATCHITOCHES URGENT CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LAVORA",
        "authorized_official_title_or_position": "OWNER/FNP",
        "authorized_official_telephone_number": "318-332-8219",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchitoches, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.