Jonesville Family Healthcare

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

JONESVILLE FAMILY HEALTHCARE

Doing business as

SE Family Healthcare of Jonesville

Practice address

800 Audubon Dr
Jonesville, LA 71343-2432

Phone

(318) 657-2273

NPI assigned

May 1, 2023

Last updated

May 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Taylor J. Cottano

Title

Owner

Phone

(225) 324-0475

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• SE Family Healthcare of Jonesville Doing business as

Medicare fee-for-service enrollment

Enrolled in LA2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215625892. Details of each certification follow.

• CCN 198922 Rural health clinic · Active · Details

Rural health clinic certification: CCN 198922

Legal name

JONESVILLE FAMILY HEALTHCARE

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Feb 9, 2024

Last certification

Feb 9, 2024

Ownership / control type

1C

Organization structure

LLCProprietary

Incorporated

Feb 17, 2023 in LA

Enrollment address

800 Audubon Dr
Jonesville, LA 71343-2432

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Rebecca Sigler, FNP-C

  • Family Nurse Practitioner
  • Pineville, LA
  • NPI 1063066983

  W-2 Managing Employee

  CMS ownership

Practitioners 2

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.

• James Brandon Fontenot, MD

  • Internal Medicine Physician
  • Ville Platte, LA
  • NPI 1770524332

  Family Medicine

  Medicare reassignment NPD
• Rebecca Sigler, FNP-C

  • Family Nurse Practitioner
  • Pineville, LA
  • NPI 1063066983
  Medicare reassignment NPD

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1215625892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3843",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713613843",
            "telephone_number": "318-403-3788",
            "fax_number": "318-987-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 AUDUBON DR",
            "city": "JONESVILLE",
            "state": "LA",
            "postal_code": "713432432",
            "telephone_number": "318-657-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONESVILLE FAMILY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "COTTANO",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-324-0475",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2523953",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SE Family Healthcare of Jonesville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SE Family Healthcare of Jonesville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rural Health Clinic/Center in Jonesville, LA
• Providers in Jonesville, LA by specialty
• Rural Health Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.