NPIMap

Organization Active NPI

Preventive Measures Programs Inc

  • Exclusive Provider Organization
  • Tallulah, LA
National Provider Identifier
1104222959
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
1882224 Issued in LA
Legal business name
PREVENTIVE MEASURES PROGRAMS INC
Practice address
805 N Beech St
Tallulah, LA 71282-3809
Phone
(318) 574-0098
Fax
(318) 574-0066
NPI assigned
Nov 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Authorized official

Name
Ms. Carla Holmes, LPC
Title
Adminstrator
Phone
(318) 574-0098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 1882224 LA Primary

Addresses

Primary practice location

805 N Beech St
Tallulah, LA 71282-3809

Mailing address

805 N Beech St
Tallulah, LA 71282-3809
Phone (318) 574-0098

Other identifiers 1

IdentifierTypeStateIssuer
1649419011MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Preventive Measures Programs in3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1104222959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N BEECH ST",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712823809",
            "telephone_number": "318-574-0098",
            "fax_number": "318-574-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N BEECH ST",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712823809",
            "telephone_number": "318-574-0098",
            "fax_number": "318-574-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE MEASURES PROGRAMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "318-574-0098",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "LA",
            "license": "1882224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649419011",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallulah, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.