NPIMap

Organization Active NPI

Insight Medical Solutions Inc

  • Rural Health Clinic/Center
  • Farmerville, LA
National Provider Identifier
1235622002
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
INSIGHT MEDICAL SOLUTIONS INC
Practice address
206 Boots Road
Farmerville, LA 71241
Phone
(318) 620-0467
Fax
(318) 620-0469
NPI assigned
Jun 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Authorized official

Name
Dr. Jeff Combetta, MD
Title
Owner
Phone
(318) 620-0467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

206 Boots Road
Farmerville, LA 71241

Mailing address

206 Boots Drive
Farmerville, LA 71241
Phone (318) 498-2916

Other identifiers 2

IdentifierTypeStateIssuer
19D2155855OtherLACLIA
2203784088OtherLADHH LICENSE

Other names 1

  • Darbonne Health Care Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180827000950 LA Part A Provider - Rural Health Clinic 1658620521 Practice locations: Farmerville, LA
O20181023000733 LA Part B Supplier - Clinic/Group Practice 1658620521 Receives reassigned benefits from 4 practitioners
Practice locations: Farmerville, LA

Rural health clinic certification: CCN 193941

Legal name
INSIGHT MEDICAL SOLUTIONS INC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 13, 2018
Last certification
Dec 13, 2024
Ownership / control type
1A
Organization structure
CorporationProprietary
Incorporated
Oct 24, 2017 in LA
Enrollment address
206 Boots Dr
Farmerville, LA 71241-3102

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2155855Darbonne Health Care Clinic206 Boots Road, Farmerville, LA 71241Certificate of waiverOct 4, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Insight Medical Solutions Inc Organization, Farmerville, LA 5% Or Greater Direct Ownership Interest Oct 23, 2017
Charlotte Boone Individual Contracted Managing EmployeeCredentialing Specialist Jul 25, 2018
Corporate Officer Jul 25, 2018
Jeffrey John Combetta Individual 5% Or Greater Indirect Ownership InterestDirector Oct 24, 2017 100%
Corporate Director Aug 1, 2018 100%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552003200000",
    "number": "1235622002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 BOOTS DRIVE",
            "city": "FARMERVILLE",
            "state": "LA",
            "postal_code": "71241",
            "telephone_number": "318-498-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 BOOTS ROAD",
            "city": "FARMERVILLE",
            "state": "LA",
            "postal_code": "71241",
            "telephone_number": "318-620-0467",
            "fax_number": "318-620-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT MEDICAL SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-07",
        "last_updated": "2019-03-08",
        "status": "A",
        "authorized_official_last_name": "COMBETTA",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-620-0467",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "19D2155855",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHH LICENSE",
            "identifier": "2203784088",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Darbonne Health Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Darbonne Health Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmerville, LA

Sources for this page

Verify at the official NPI Registry.