Active NPI
Accessible Walk-in Clinic
- Multi-Specialty Clinic/Center
- Hammond, LA
National Provider Identifier
1063983799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- ACCESSIBLE WALK-IN CLINIC
- Practice address
- 1206 J W Davis Dr Ste 102
Hammond, LA 70403-5953 - Phone
- (985) 956-7370
- Fax
- (985) 956-7371
- NPI assigned
- Dec 6, 2018
- Last updated
- Dec 6, 2018
- Organization subpart
- Yes
- Parent organization
- EPIPHANY HEALTHCARE SYSTEM, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dickson Osanu
- Title
- Ceo
- Phone
- (404) 226-9131
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | NU | Primary |
Addresses
Primary practice location
1206 J W Davis Dr Ste 102
Hammond, LA 70403-5953
Mailing address
1206 J W Davis Dr Ste 102
Hammond, LA 70403-5953
Phone (985) 956-7370
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124202973 | Other | GA | HOME CARE |
| 1124202973 | Medicaid | GA |
National Provider Directory
National Provider Directory- Part of
- Epiphany Healthcare System Inc
Locations
1206 J W Davis Dr
Ste 102
Hammond, LA 70403
Phone (985) 956-7370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1544054400000",
"number": "1063983799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1206 J W DAVIS DR STE 102",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704035953",
"telephone_number": "985-956-7370",
"fax_number": "985-956-7371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1206 J W DAVIS DR STE 102",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704035953",
"telephone_number": "985-956-7370",
"fax_number": "985-956-7371"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACCESSIBLE WALK-IN CLINIC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EPIPHANY HEALTHCARE SYSTEM, INC",
"enumeration_date": "2018-12-06",
"last_updated": "2018-12-06",
"status": "A",
"authorized_official_last_name": "OSANU",
"authorized_official_first_name": "DICKSON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "404-226-9131"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME CARE",
"identifier": "1124202973",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124202973",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hammond, LA
- Abundance and Beyond Home Health Pca, Inc.
- Access Health Louisiana (Acadian Care Hammond)
- Access Health Louisiana (Early Foundation Family Center)
- Access Health Louisiana (SLU Head Start and Early Head Start)
- Access Health Louisiana (Tangipahoa Community Health Center)
- Achieving Outcomes LLC
- Chad Joseph Achord, CRNA
- Active Treatment 2, Inc.
- Active Treatment 2, Inc.
- Active Treatment 2, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.