Zwolle Medical Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

16359 Issued in LA

Legal business name

ZWOLLE MEDICAL CLINIC

Practice address

2114 Obrie Street
Zwolle, LA 71486-1068

Phone

(318) 645-4484

Fax

(318) 645-9139

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Garland Dupree Miller Jr., MEDICAL DOCTOR

Title

President

Phone

(318) 645-4484

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Practitioners 1

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

• Amy Marie Garcie, NP

  • Nurse Practitioner
  • Zwolle, LA
  • NPI 1215917513
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124149307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1068",
            "city": "ZWOLLE",
            "state": "LA",
            "postal_code": "714861068",
            "telephone_number": "318-645-4484",
            "fax_number": "318-645-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 OBRIE STREET",
            "city": "ZWOLLE",
            "state": "LA",
            "postal_code": "714861068",
            "telephone_number": "318-645-4484",
            "fax_number": "318-645-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZWOLLE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GARLAND",
        "authorized_official_middle_name": "DUPREE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-645-4484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MEDICAL DOCTOR"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "16359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1321702",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Transportation Services, LLC
• Jermaine Thomas
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• Wal-Mart Stores East LP
• Jurlean Wilson

• Primary Care Clinic/Center in Zwolle, LA
• Providers in Zwolle, LA by specialty
• Primary Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.