C H Wilkinson Physician Network

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

C H WILKINSON PHYSICIAN NETWORK

Practice address

5541 Highway 1
Marksville, LA 71351-2650

Phone

(318) 240-7240

Fax

(318) 240-7118

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

Peter J Plantes, M.D.

Title

President/Ceo

Phone

(469) 282-2613

Specialties & licenses 2

Addresses

Other names 1

• Christus Medical Group Marksville FamilyCare Center Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• C H Wilkinson Physician Network

  • Nurse Practitioner
  • Boerne, TX
  • NPI 1326292145

  Member Of

  NPD member

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• CLHG-Avoyelles LLC

  • Rural Health Clinic/Center
  • Marksville, LA
  • NPI 1679134407

  Sold to, 2019-09-01

  CMS change of ownership

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1285652156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 HIDDEN RDG",
            "address_2": "6TH FLOOR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383813",
            "telephone_number": "468-282-2711",
            "fax_number": "469-282-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5541 HIGHWAY 1",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713512650",
            "telephone_number": "318-240-7240",
            "fax_number": "318-240-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C H WILKINSON PHYSICIAN NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "PLANTES",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "469-282-2613",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY 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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christus Medical Group Marksville FamilyCare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Analee Magan Brossette
• Beau Brouillette, M.D.
• Sandi Renee Brouillette
• Charlene Buck
• Chasity Daisey Byrne, RAC
• Krystine Caldwell, CIT
• Carole Calhoun
• Jayde Michelle Callegari
• Kera Cazelot, WHNP
• Cedar Investments LLC

• All providers in Marksville, LA
• Rural Health Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.