Active NPI
Holloway Rural Medical Clinic LLC.
- Rural Health Clinic/Center
- Pineville, LA
National Provider Identifier
1336217439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1110876 | Medicaid | LA |
Other names 1
- Holloway Rural Health Clinic
National Provider Directory
National Provider DirectoryLocations
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.
-
- Medical Physician Assistant
- Pineville, LA
- NPI 1902998008
-
- Family Nurse Practitioner
- Pineville, LA
- NPI 1497752018
-
- Internal Medicine Physician
- Alexandria, LA
- NPI 1831182781
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.