Organization Active NPI

Center for Relief of Suffering

  • Health Service Clinic/Center
  • Covington, LA
National Provider Identifier
1215199112
Registry record updated Oct 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
CENTER FOR RELIEF OF SUFFERING
Practice address
101 E Fairway Dr
Suite 101
Covington, LA 70433-7503
Phone
(985) 871-1181
Fax
(985) 871-1189
NPI assigned
Jul 1, 2008
Last updated
Oct 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2008

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

Authorized official

Name
Stephanie Quick
Title
Administrator
Phone
(985) 264-5413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

101 E Fairway Dr
Suite 101
Covington, LA 70433-7503

Mailing address

101 E Fairway Dr
Suite 101
Covington, LA 70433-7503
Phone (985) 871-1181

Other identifiers 1

IdentifierTypeStateIssuer
1308951MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225065600000",
    "number": "1215199112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E FAIRWAY DR",
            "address_2": "SUITE 101",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337503",
            "telephone_number": "985-871-1181",
            "fax_number": "985-871-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E FAIRWAY DR",
            "address_2": "SUITE 101",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337503",
            "telephone_number": "985-871-1181",
            "fax_number": "985-871-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR RELIEF OF SUFFERING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-10-27",
        "status": "A",
        "authorized_official_last_name": "QUICK",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "985-264-5413"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1308951",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; 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.