Paradise Children'S Clinic of Louisiana LLC
Organization Active NPI Pediatrics Physician · Ball, LA
NPI 1124457676 · NPPES record last updated Nov 22, 2021
Key facts
- NPI
- 1124457676
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- PARADISE CHILDREN'S CLINIC OF LOUISIANA LLC
- Practice address
- 4702 Monroe Hwy
Ball, LA 71405-3944 - Phone
- (318) 641-6113
- Fax
- (318) 641-6115
- NPI assigned
- Nov 5, 2013
- Organization subpart
- No
Authorized official
- Name
- Ashley L Mason
- Title
- Office Manager
- Phone
- (318) 641-6113
Practitioners 2
-
Rhonda Turner Foster, APRN
-
Lauren Heaton, FNP-C
National Provider Directory
Locations
2226 Worley Dr
Alexandria, LA 71301
Phone (318) 443-9634
4702 Monroe Hwy
Ball, LA 71405
Phone (318) 640-9116
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes | ||
| Family Nurse Practitioner |
363LF0000X | |||
| Pediatric Nurse Practitioner |
363LP0200X |
Addresses
Primary practice location
4702 Monroe Hwy
Ball, LA 71405-3944
Mailing address
4702 Monroe Hwy
Ball, LA 71405-3944
Phone (318) 641-6113
Other practice location 1
5821 Monroe Hwy
Ball, LA 71405-3362
Phone (318) 641-6113
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2351192 | Medicaid | LA |
Other names
- Paradise Children's Clinic
Other providers in Ball, LA
- Louisiana Communtiy Care Inc
- Louisiana Mobility of Central la, Inc
- Mary Leneil Mercer
- National Birth Centers, Inc.
- L. Stephen Ortego
- Liza Phillips
- Pinecrest Supports and Services Center
- Private Healthcare Facilities
- Robert Allen Ray
- Rays Investments Inc
All providers in Ball, LA · Pediatrics Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.