Organization Active NPI

American Stat - Care Centers PC Inc

  • Primary Care Clinic/Center
  • West Monroe, LA
National Provider Identifier
1174653588
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
AMERICAN STAT - CARE CENTERS PC INC
Practice address
206 Bell LN
Suites C&D
West Monroe, LA 71291-6300
Phone
(318) 396-3800
Fax
(318) 396-3852
NPI assigned
Mar 6, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Enaka Marie Yembe, MD
Title
Owner
Phone
(318) 396-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X LA Primary

Addresses

Primary practice location

206 Bell LN
Suites C&D
West Monroe, LA 71291-6300

Mailing address

PO Box 2374
West Monroe, LA 71294-2374
Phone (318) 396-3800

Other identifiers 1

IdentifierTypeStateIssuer
1054453MedicaidLA

National Provider Directory

National Provider Directory

Locations

1107 Glenwood Dr
West Monroe, LA 71291
Phone (318) 340-1003

206 Bell Ln
West Monroe, LA 71291
Phone (318) 396-3800

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174653588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2374",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712942374",
            "telephone_number": "318-396-3800",
            "fax_number": "318-396-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 BELL LN",
            "address_2": "SUITES C&D",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712916300",
            "telephone_number": "318-396-3800",
            "fax_number": "318-396-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN STAT - CARE CENTERS PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "YEMBE",
        "authorized_official_first_name": "ENAKA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-396-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1054453",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.