Active NPI
Preferred Care Community Health Center
- Family Medicine Physician
- Monroe, LA
National Provider Identifier
1578078358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PREFERRED CARE COMMUNITY HEALTH CENTER
- Practice address
- 1511 Orange St
Monroe, LA 71202-2325 - Phone
- (318) 322-7798
- NPI assigned
- Dec 3, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Terry Howard
- Title
- Owner
- Phone
- (318) 381-2226
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1511 Orange St
Monroe, LA 71202-2325
Mailing address
1511 Orange St
Monroe, LA 71202-2325
Phone (318) 322-7798
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750342507 | Medicaid | LA |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/17250/brand/1/csg/1/fhir/r4
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": "1512259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1512259200000",
"number": "1578078358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1511 ORANGE ST",
"city": "MONROE",
"state": "LA",
"postal_code": "712022325",
"telephone_number": "318-322-7798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1511 ORANGE ST",
"city": "MONROE",
"state": "LA",
"postal_code": "712022325",
"telephone_number": "318-322-7798"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREFERRED CARE COMMUNITY HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-03",
"last_updated": "2017-12-03",
"status": "A",
"authorized_official_last_name": "HOWARD",
"authorized_official_first_name": "TERRY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "318-381-2226",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1750342507",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.