St. Luke Missionary Hospice, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

202 Issued in MS

Legal business name

ST. LUKE MISSIONARY HOSPICE, LLC

Practice address

202 W Main Avenue
Lumberton, MS 39455

Phone

(601) 796-7993

Fax

(866) 533-5971

NPI assigned

May 16, 2012

Last updated

May 16, 2012By 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. Duane A Dufrene, CPA

Title

Owner

Phone

(504) 201-5729

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1265792808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PARLANGE DRIVE",
            "city": "DESTREHAN",
            "state": "LA",
            "postal_code": "70047",
            "telephone_number": "504-201-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W MAIN AVENUE",
            "city": "LUMBERTON",
            "state": "MS",
            "postal_code": "39455",
            "telephone_number": "601-796-7993",
            "fax_number": "866-533-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE MISSIONARY HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "DUFRENE",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-201-5729",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MS",
            "license": "202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moore Chiropractic Clinic Lumberton
• Perfect Choice Services LLC
• Poplarville Special Separate Municipal School District
• Nicholas Rutledge, MSW
• Southeast Mississippi Rural Health Initiative, Inc (Lumberton Middle School)
• Patricia A Thompson, FNP-BC
• Robbie M Throop
• William Henry Vann Jr., D.D.S., M.A.E.D.
• Heather Elizabeth Waters, DO
• Carla Whitfield, FNP-BC

• Health Service Clinic/Center in Lumberton, MS
• Providers in Lumberton, MS by specialty
• Health Service Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.