Organization Active NPI

Houma Health Clinic, Inc

  • Internal Medicine Physician
  • Houma, LA
National Provider Identifier
1437370335
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14187R Issued in LA
Legal business name
HOUMA HEALTH CLINIC, INC
Practice address
827 Bayou Gardens Blvd
Houma, LA 70364-1464
Phone
(985) 853-2343
Fax
(985) 853-0589
NPI assigned
May 1, 2007
Last updated
Nov 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Dr. Patrick Decourcy Walker, M.D.NPI 1780768630
Title
Ceo-Owner
Phone
(985) 853-2343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 14187R LA Primary
Family Nurse Practitioner 363LF0000X 40568-4796 LA

Addresses

Primary practice location

827 Bayou Gardens Blvd
Houma, LA 70364-1464

Mailing address

827 Bayou Gardens Blvd
Houma, LA 70364-1464
Phone (985) 853-2343

Other identifiers 1

IdentifierTypeStateIssuer
1448842MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051206000386 LA Part B Supplier - Clinic/Group Practice 7911927991 Receives reassigned benefits from 5 practitioners
Practice locations: Houma, LA; Thibodaux, LA

National Provider Directory

National Provider Directory

Locations

827 Bayou Gardens Blvd
Houma, LA 70364
Phone (985) 853-2343

Practitioners & affiliated clinicians

Practitioners 5

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": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1437370335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 BAYOU GARDENS BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703641464",
            "telephone_number": "985-853-2343",
            "fax_number": "985-853-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 BAYOU GARDENS BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703641464",
            "telephone_number": "985-853-2343",
            "fax_number": "985-853-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUMA HEALTH CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "DECOURCY",
        "authorized_official_title_or_position": "CEO-OWNER",
        "authorized_official_telephone_number": "985-853-2343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "14187R",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "40568-4796",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1448842",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.