Mco of Louisiana Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MCO OF LOUISIANA INC

Practice address

430 West South Street
Winnfield, LA 71483

Phone

(318) 628-6900

Fax

(318) 628-6111

NPI assigned

Nov 15, 2006

Last updated

Nov 7, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Dixie Renee Meyers

Title

Manager

Phone

(318) 628-6900

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1356413025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "address_2": "430 WEST SOUTH STREET",
            "city": "WINNFIELD",
            "state": "LA",
            "postal_code": "71483",
            "telephone_number": "318-628-6900",
            "fax_number": "318-628-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 WEST SOUTH STREET",
            "city": "WINNFIELD",
            "state": "LA",
            "postal_code": "71483",
            "telephone_number": "318-628-6900",
            "fax_number": "318-628-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCO OF LOUISIANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "DIXIE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "318-628-6900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1930351",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Winnfield, LA
• Providers in Winnfield, LA by specialty
• Durable Medical Equipment & Medical Supplies in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.