Primary Healthcare of Southeast la LLC

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

PRIMARY HEALTHCARE OF SOUTHEAST LA LLC

Practice address

57935 McDaniel St
Plaquemine, LA 70764-2039

Phone

(225) 620-1561

Fax

(225) 687-9904

NPI assigned

Jun 29, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Thane Battiste Painia

Title

Manager

Phone

(225) 620-1561

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246233600000",
    "number": "1568690535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57935 MCDANIEL ST",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707642039",
            "telephone_number": "225-620-1561",
            "fax_number": "225-687-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57935 MCDANIEL ST",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707642039",
            "telephone_number": "225-620-1561",
            "fax_number": "225-687-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEALTHCARE OF SOUTHEAST LA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2009-06-29",
        "status": "A",
        "authorized_official_last_name": "PAINIA",
        "authorized_official_first_name": "THANE",
        "authorized_official_middle_name": "BATTISTE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "225-620-1561",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Federally Qualified Health Center (FQHC) in Plaquemine, LA
• Providers in Plaquemine, LA by specialty
• Federally Qualified Health Center (FQHC) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; 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.