Amazing Care, LLC
Organization Active NPI Primary Care Clinic/Center · Ruston, LA
NPI 1134438591 · NPPES record last updated Dec 21, 2010
Key facts
- NPI
- 1134438591
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- AMAZING CARE, LLC
- Practice address
- 765 S Bonner St
Ruston, LA 71270-5801 - Phone
- (318) 202-5935
- Fax
- (318) 202-5933
- NPI assigned
- Oct 4, 2010
- Organization subpart
- No
Authorized official
- Name
- Mrs. Wanda J Ovitt, FNP-C
- Title
- President
- Phone
- (318) 202-5935
Practitioners 3
-
Pamela R Hearn, MD
-
Charles Edward Self, PA-C
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | LA | Yes |
Addresses
Primary practice location
765 S Bonner St
Ruston, LA 71270-5801
Mailing address
PO Box 1839
Ruston, LA 71273-1839
Phone (318) 202-5935
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2131320 | Medicaid | LA |
Other providers in Ruston, LA
- Lori M Allen
- Sandra Crawford Allen
- Alliance Physical Therapy
- Alpine Guest Care, LLC
- Amazing Care Counseling and Recovery Agency, LLC
- Amazing Grace Transportation Services, LLC
- Anders Eye Care LLC
- David Bradley Anders
- Ronald Anders
- Takebra Andrews
All providers in Ruston, LA · Primary Care Clinic/Center in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2010. 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.