NPIMap

Organization Active NPI

Rayville Family Clinic

  • Rural Health Clinic/Center
  • Rayville, LA
National Provider Identifier
1063782811
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
157 Issued in LA
Legal business name
RAYVILLE FAMILY CLINIC
Practice address
1962 Julia St
Rayville, LA 71269-5527
Phone
(318) 728-8833
Fax
(318) 728-6183
NPI assigned
Jan 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Tracy M Morris
Title
Administrator
Phone
(318) 728-8833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 157 LA Primary

Addresses

Primary practice location

1962 Julia St
Rayville, LA 71269-5527

Mailing address

1962 Julia St
Rayville, LA 71269-5527
Phone (318) 728-8833

Other identifiers 1

IdentifierTypeStateIssuer
2168339MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Rayville Family Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

121 Christian Dr
Rayville, LA 71269
Phone (318) 330-7730

Practitioners & affiliated clinicians

Practitioners 3

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": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1063782811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1962 JULIA ST",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712695527",
            "telephone_number": "318-728-8833",
            "fax_number": "318-728-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1962 JULIA ST",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712695527",
            "telephone_number": "318-728-8833",
            "fax_number": "318-728-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYVILLE FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-728-8833"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "LA",
            "license": "157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2168339",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rayville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.