Organization Active NPI

West Monroe Family Clinic

  • Primary Care Clinic/Center
  • West Monroe, LA
National Provider Identifier
1619043916
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MD12942R Issued in LA
Legal business name
WEST MONROE FAMILY CLINIC
Practice address
1900 N 7TH St
West Monroe, LA 71291-4416
Phone
(318) 651-7000
Fax
(318) 651-7012
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Steven Howard McMahan, M.D.
Title
President
Phone
(318) 651-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MD12942R LA Primary

Addresses

Primary practice location

1900 N 7TH St
West Monroe, LA 71291-4416

Mailing address

PO Box 1260
West Monroe, LA 71294-1260
Phone (318) 651-7000

Other identifiers 1

IdentifierTypeStateIssuer
1949469MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619043916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1260",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712941260",
            "telephone_number": "318-651-7000",
            "fax_number": "318-651-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N 7TH ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712914416",
            "telephone_number": "318-651-7000",
            "fax_number": "318-651-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MONROE FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCMAHAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-651-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "MD12942R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1949469",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.