Paris Lakes Health Group Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

PARIS LAKES HEALTH GROUP INC

Practice address

2675 41St St SE Ste 102
Paris, TX 75462-8209

Phone

(903) 739-7700

Fax

(903) 739-7398

NPI assigned

Dec 28, 2018

Last updated

Dec 28, 2018By 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

Laura Williams

Title

Practice Manager

Phone

(903) 609-1065

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386116572. Details of each certification follow.

• CCN 673957 Rural health clinic · Active · Name & address match · Details

Rural health clinic certification: CCN 673957

Legal name

PARIS LAKES HEALTH GROUP, INC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Mar 9, 2021

Last certification

Mar 9, 2021

Ownership / control type

2B

Facility address

2675 41St Street SE, Ste 102
Paris, TX 75462

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545955200000",
    "number": "1386116572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 41ST ST SE STE 102",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754628209",
            "telephone_number": "903-739-7700",
            "fax_number": "903-739-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 41ST ST SE STE 102",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754628209",
            "telephone_number": "903-739-7700",
            "fax_number": "903-739-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARIS LAKES HEALTH GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-28",
        "last_updated": "2018-12-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "903-609-1065"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paris Family Physicians,PA
• Paris Family Smiles (Ross Williams, DDS)
• Paris Heart and Vascular Care, P.a.
• Paris Homehealth and Hospice, LLC
• Paris Independent School District
• Paris Lakes Health Group Inc
• Paris Medical Supply, Inc.
• Paris Mental Health Clinic, PLLC
• Paris O & P, Inc.
• Paris OB-GYN

• Rural Health Clinic/Center in Paris, TX
• Providers in Paris, TX by specialty
• Rural Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.