Organization Active NPI

The Will of God Ministries Outreach Program

  • Preferred Provider Organization
  • Coushatta, LA
National Provider Identifier
1295805299
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
10775 Issued in LA
Legal business name
THE WILL OF GOD MINISTRIES OUTREACH PROGRAM
Practice address
1113 Calliope St
Coushatta, LA 71019-8306
Phone
(318) 932-3177
NPI assigned
Nov 8, 2006
Last updated
Sep 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Dr. Johnny Cox
Title
Executive Director
Phone
(318) 932-6444

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 10783 LA
Preferred Provider Organization 305R00000X 10793 LA
Preferred Provider Organization 305R00000X 10775 LA Primary

Addresses

Primary practice location

1113 Calliope St
Coushatta, LA 71019-8306

Mailing address

1113 Calliope St
Coushatta, LA 71019-8306
Phone (318) 932-3177

Other identifiers 1

IdentifierTypeStateIssuer
1476889MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
The Will of God Ministries Outreach Program5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1113 Calliope St
Coushatta, LA 71019
Phone (318) 932-3177

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1295805299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 CALLIOPE ST",
            "city": "COUSHATTA",
            "state": "LA",
            "postal_code": "710198306",
            "telephone_number": "318-932-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 CALLIOPE ST",
            "city": "COUSHATTA",
            "state": "LA",
            "postal_code": "710198306",
            "telephone_number": "318-932-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WILL OF GOD MINISTRIES OUTREACH PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "318-932-6444",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "LA",
            "license": "10783",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "LA",
            "license": "10793",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "LA",
            "license": "10775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1476889",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coushatta, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.