Dixon Family Medical Center, LLC
Organization Active NPI Rural Health Clinic/Center · Washington, LA
NPI 1366847337 · NPPES record last updated Sep 18, 2015
Key facts
- NPI
- 1366847337
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- License
- AP05959 (LA)
- Legal business name
- DIXON FAMILY MEDICAL CENTER, LLC
- Practice address
- 536 St. Landry Veterans Memorial Hwy.
Washington, LA 70589-4420 - Phone
- (337) 628-5014
- Fax
- (337) 826-5401
- NPI assigned
- Nov 3, 2014
- Organization subpart
- No
Authorized official
- Name
- Monique Bianca Declouet-Dixon, FNP
- Title
- Family Nurse Practitioner
- Phone
- (337) 628-5014
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | AP05959 | LA | Yes |
Addresses
Primary practice location
536 St. Landry Veterans Memorial Hwy.
Washington, LA 70589-4420
Mailing address
PO Box 596
Washington, LA 70589-0596
Phone (337) 628-5014
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1820105 | Medicaid | LA |
Other providers in Washington, LA
- Blaise F. Broussard
- Caring Hearts Medical Services
- CLHG-Ville Platte LLC
- Dixon Family Medical Center, LLC
- Dr Patrick S Gillespie a Professional Medical Corporation
- Sadie Angelle Duos-Figueiredo
- Sarah L Edward
- Functional DME
- Patrick S Gillespie
All providers in Washington, LA · Rural Health Clinic/Center in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.