Organization Active NPI

Tors Medical Clinic, LLC

  • Primary Care Clinic/Center
  • Sulphur, LA
National Provider Identifier
1255010617
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
TORS MEDICAL CLINIC, LLC
Practice address
3920 Maplewood Drive
Sulphur, LA 70663-6209
Phone
(337) 476-5071
Fax
(337) 476-5061
NPI assigned
Jul 13, 2023
Last updated
Jul 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Authorized official

Name
Jamie Averett Klumpp, APRNNPI 1386066595
Title
Owner
Phone
(337) 476-5071

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

3920 Maplewood Drive
Sulphur, LA 70663-6209

Mailing address

PO Box 3311
Sulphur, LA 70664-3311
Phone (337) 476-5071

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
19D2238384Tors Medical Clinic3920 Maplewood Dr, Sulphur, LA 70663Certificate of waiverOct 3, 2027

National Provider Directory

National Provider Directory
Tax ID family
Tors Medical Clinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3920 Maplewood Dr
Sulphur, LA 70663
Phone (337) 476-5071

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1255010617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3311",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706643311",
            "telephone_number": "337-476-5071",
            "fax_number": "337-476-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 MAPLEWOOD DRIVE",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706636209",
            "telephone_number": "337-476-5071",
            "fax_number": "337-476-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TORS MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "KLUMPP",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "AVERETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-476-5071",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.