NPIMap

Organization Active NPI

Delta Community Action Association Inc

  • Community/Behavioral Health Agency
  • Tallulah, LA
National Provider Identifier
1336494616
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
179 Issued in LA
Legal business name
DELTA COMMUNITY ACTION ASSOCIATION INC
Practice address
404 E Craig St
Tallulah, LA 71282-3718
Phone
(318) 574-4164
Fax
(318) 574-4164
NPI assigned
Jul 23, 2012
Last updated
Jul 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Authorized official

Name
Mr. Carl Smith
Title
Executive Director
Phone
(318) 574-2130

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 179 LA Primary
Community/Behavioral Health Agency 251S00000X 179A LA
Community/Behavioral Health Agency 251S00000X 179B LA

Addresses

Primary practice location

404 E Craig St
Tallulah, LA 71282-3718

Mailing address

404 E Craig St
Tallulah, LA 71282-3718
Phone (318) 574-4164

Other names 1

  • Delta Recovery Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Delta Community Action Association Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

404 E Craig St
Tallulah, LA 71282
Phone (318) 574-4164

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1336494616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E CRAIG ST",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712823718",
            "telephone_number": "318-574-4164",
            "fax_number": "318-574-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E CRAIG ST",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712823718",
            "telephone_number": "318-574-4164",
            "fax_number": "318-574-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA COMMUNITY ACTION ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "318-574-2130",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "179",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "179A",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "179B",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delta Recovery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tallulah, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.