Bayou Telemedicine LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BAYOU TELEMEDICINE LLC

Practice address

1703 Arizona Ave
Monroe, LA 71202-3632

Phone

(800) 819-3218

Fax

(800) 819-6261

NPI assigned

Jun 26, 2020

Organization subpart

No

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

Authorized official

Name

Sandra Jones

Title

Owner

Phone

(800) 819-3218

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1124645130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1221",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760631221",
            "telephone_number": "800-819-3218",
            "fax_number": "800-819-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 ARIZONA AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712023632",
            "telephone_number": "800-819-3218",
            "fax_number": "800-819-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYOU TELEMEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-819-3218"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Monroe, LA
• Providers in Monroe, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.