Organization Active NPI

The Magnolia Clinic

  • Primary Care Clinic/Center
  • Sulphur, LA
National Provider Identifier
1366568800
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
THE MAGNOLIA CLINIC
Practice address
914 S Post Oak Rd
Sulphur, LA 70663-5246
Phone
(337) 625-0035
Fax
(337) 625-0036
NPI assigned
Mar 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Susan L Duhon, CNPNPI 1437275997
Title
Nurse Practitioner
Phone
(337) 625-0035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X LA Primary

Addresses

Primary practice location

914 S Post Oak Rd
Sulphur, LA 70663-5246

Mailing address

914 S Post Oak Rd
Sulphur, LA 70663-5246
Phone (337) 625-0035

Other identifiers 1

IdentifierTypeStateIssuer
1440639MedicaidLA

National Provider Directory

National Provider Directory

Locations

110 E Darbonne St
Ste F
Sulphur, LA 70663

484 S Post Oak Rd
Sulphur, LA 70663
Phone (337) 625-0035

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": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366568800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 S POST OAK RD",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635246",
            "telephone_number": "337-625-0035",
            "fax_number": "337-625-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 S POST OAK RD",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635246",
            "telephone_number": "337-625-0035",
            "fax_number": "337-625-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MAGNOLIA CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUHON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "337-625-0035",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1440639",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.