Company Clinic of Louisiana, LLC

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

Legal business name

COMPANY CLINIC OF LOUISIANA, LLC

Practice address

5015 Shed Rd
Suite 500
Bossier City, LA 71111-5584

Phone

(318) 741-5858

Fax

(318) 741-4496

NPI assigned

Mar 16, 2012

Organization subpart

No

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

Authorized official

Name

Tammie Lowe

Title

Cfo

Phone

(318) 741-5858

Specialties & licenses 1

Addresses

Tax ID family

Company Clinic of Louisiana LLC2 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.

• Company Clinic of Louisiana, LLC

  • Occupational Medicine Clinic/Center
  • Minden, LA
  • NPI 1578861720
  NPD tax ID

Practitioners 1

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

• Regina Renee Willis, N.P.

  • Occupational Health Nurse Practitioner
  • Bossier City, LA
  • NPI 1306904412
  NPD (past)

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1114292679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5257",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711715257",
            "telephone_number": "318-741-5858",
            "fax_number": "318-946-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 SHED RD",
            "address_2": "SUITE 500",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115584",
            "telephone_number": "318-741-5858",
            "fax_number": "318-741-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPANY CLINIC OF LOUISIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-16",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "318-741-5858"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Angels of Hope, LLC
• Community Angels of Hope, LLC
• Community Bridges South, Inc.
• Community Bridges West, Inc.
• Compassion and Grace Counseling LLC
• Jake Conly, PT, DPT
• Connecticut General Life Insurance Company (Cglic)
• Stephanie Renee Conner
• John Cook

• Occupational Medicine Clinic/Center in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Occupational Medicine Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.