Organization Active NPI

Holloway Rural Medical Clinic LLC.

  • Rural Health Clinic/Center
  • Pineville, LA
National Provider Identifier
1336217439
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
HOLLOWAY RURAL MEDICAL CLINIC LLC.
Practice address
10115 Highway 28 E
Pineville, LA 71360-0746
Phone
(318) 466-1410
Fax
(318) 466-1409
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Authorized official

Name
Mrs. Ronda A Rosier, CEO
Title
Owner
Phone
(318) 466-1410

Specialties & licenses 1

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

Addresses

Primary practice location

10115 Highway 28 E
Pineville, LA 71360-0746

Mailing address

10115 Highway 28 E
Pineville, LA 71360-0746
Phone (318) 466-1410

Other identifiers 1

IdentifierTypeStateIssuer
1110876MedicaidLA

Other names 1

  • Holloway Rural Health Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

10115 Highway 28 E
Pineville, LA 71360
Phone (318) 466-1410

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1336217439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10115 HIGHWAY 28 E",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713600746",
            "telephone_number": "318-466-1410",
            "fax_number": "318-466-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10115 HIGHWAY 28 E",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713600746",
            "telephone_number": "318-466-1410",
            "fax_number": "318-466-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLOWAY RURAL MEDICAL CLINIC LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "ROSIER",
        "authorized_official_first_name": "RONDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-466-1410",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1110876",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holloway Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pineville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.