NPIMap

Organization Active NPI

Mobile Medicine, LLC

  • Primary Care Clinic/Center
  • Winnsboro, LA
National Provider Identifier
1497053862
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MOBILE MEDICINE, LLC
Practice address
2401 Loop Rd
Winnsboro, LA 71295-3403
Phone
(318) 237-1527
Fax
(318) 435-3111
NPI assigned
Mar 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Authorized official

Name
Mr. Ryan Slade DykesNPI 1366549354
Title
President/Owner
Phone
(318) 237-1527

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 1

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

Addresses

Primary practice location

2401 Loop Rd
Winnsboro, LA 71295-3403

Mailing address

126 Dykes Rd
West Monroe, LA 71292-8969
Phone (318) 237-1527

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1497053862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 DYKES RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712928969",
            "telephone_number": "318-237-1527",
            "fax_number": "318-435-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 LOOP RD",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712953403",
            "telephone_number": "318-237-1527",
            "fax_number": "318-435-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "DYKES",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "SLADE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "318-237-1527",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnsboro, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.