Prevail Heart Clinic of Ville Platte, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD.026644 Issued in LA

Legal business name

PREVAIL HEART CLINIC OF VILLE PLATTE, LLC

Practice address

504 Jack Miller Rd Ste 8
Ville Platte, LA 70586-5600

Phone

(337) 806-9734

Fax

(337) 806-9742

NPI assigned

Jul 18, 2015

Last updated

Jul 18, 2015By 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

Dr. Kevin A Courville, M.D.

Title

President/Owner

Phone

(337) 534-4356

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437177600000",
    "number": "1538543574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 AMBASSADOR CAFFERY PKWY STE 480",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088802",
            "telephone_number": "337-806-9734",
            "fax_number": "337-806-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 JACK MILLER RD STE 8",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705865600",
            "telephone_number": "337-806-9734",
            "fax_number": "337-806-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVAIL HEART CLINIC OF VILLE PLATTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-18",
        "last_updated": "2015-07-18",
        "status": "A",
        "authorized_official_last_name": "COURVILLE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "337-534-4356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "MD.026644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Ville Platte, LA
• Providers in Ville Platte, LA by specialty
• Cardiovascular Disease Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2015; 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.