NPIMap

Organization Active NPI

Homer Memorial Hospital

  • Family Medicine Physician
  • Homer, LA
National Provider Identifier
1336714948
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HOMER MEMORIAL HOSPITAL
Practice address
912 W Main St
Homer, LA 71040-3328
Phone
(318) 927-3571
NPI assigned
May 25, 2021
Organization subpart
Yes
Parent organization
HOMER MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Authorized official

Name
Anna Lee Jones
Title
Cqio
Phone
(318) 927-2024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

912 W Main St
Homer, LA 71040-3328

Mailing address

620 E College St
Homer, LA 71040-3202

Other names 1

  • Claiborne Family Medical Clinic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.claibornemedical.com

National Provider Directory

National Provider Directory
Tax ID family
Homer Memorial Hospital13 organizations share this tax ID, including this one
Part of
Homer Memorial Hospital

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1336714948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E COLLEGE ST",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "710403202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 W MAIN ST",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "710403328",
            "telephone_number": "318-927-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMER MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOMER MEMORIAL HOSPITAL",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CQIO",
        "authorized_official_telephone_number": "318-927-2024"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.claibornemedical.com",
            "affiliation": "N",
            "address_1": "912 W Main St",
            "city": "Homer",
            "state": "LA",
            "country_code": "US",
            "postal_code": "710403328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Claiborne Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Homer, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.