NPIMap

Organization Active NPI

Bienville Parish

  • Rural Health Clinic/Center
  • Arcadia, LA
National Provider Identifier
1316038441
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
060 Issued in LA
Legal business name
BIENVILLE PARISH
Practice address
1175 Pine St
Suite 100
Arcadia, LA 71001-3113
Phone
(318) 263-7970
Fax
(318) 263-2008
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Crystal Rabo
Title
Administrator
Phone
(318) 263-7970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 060 LA Primary

Addresses

Primary practice location

1175 Pine St
Suite 100
Arcadia, LA 71001-3113

Mailing address

1175 Pine St Ste 100
Arcadia, LA 71001-3122
Phone (318) 263-7970

Other identifiers 3

IdentifierTypeStateIssuer
1168190MedicaidLA
1172774MedicaidLA
1442950MedicaidLA

Other names 1

  • Bienville Family Clinic-Arcadia Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040521001015 LA Part B Supplier - Clinic/Group Practice 8527059047 Receives reassigned benefits from 2 practitioners
Practice locations: Arcadia, LA

National Provider Directory

National Provider Directory

Locations

1175 Pine St
Ste 100
Arcadia, LA 71001
Phone (318) 263-7970

1175 Pine St
Arcadia, LA 71001
Phone (318) 263-4700

Practitioners 10

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

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
19D0463171Bienville Family Clinic Arcadia1175 Pine Street Suite 100, Arcadia, LA 71001Certificate of waiverMar 16, 2027

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1316038441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 PINE ST STE 100",
            "city": "ARCADIA",
            "state": "LA",
            "postal_code": "710013122",
            "telephone_number": "318-263-7970",
            "fax_number": "318-263-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 PINE ST",
            "address_2": "SUITE 100",
            "city": "ARCADIA",
            "state": "LA",
            "postal_code": "710013113",
            "telephone_number": "318-263-7970",
            "fax_number": "318-263-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIENVILLE PARISH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "RABO",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-263-7970"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "LA",
            "license": "060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1168190",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1172774",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1442950",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bienville Family Clinic-Arcadia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arcadia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.