Woodworth Family Medicine Inc.

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

119 Issued in LA

Legal business name

WOODWORTH FAMILY MEDICINE INC.

Practice address

9372 Hwy.165 South
Woodworth, LA 71485

Phone

(318) 484-9588

Fax

(318) 484-9590

NPI assigned

Oct 18, 2007

Last updated

Oct 18, 2007By 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

Mr. David Vanmol

Title

President

Phone

(318) 484-9588

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Monica J Allen, FNP

  • Family Nurse Practitioner
  • Woodworth, LA
  • NPI 1699158899
  NPD (past)
• David J Guillot, MD

  • Family Medicine Physician
  • Woodworth, LA
  • NPI 1215939558
  NPD (past)

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1639368335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX406",
            "city": "WOODWORTH",
            "state": "LA",
            "postal_code": "71485",
            "telephone_number": "318-484-9588",
            "fax_number": "318-484-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9372 HWY.165 SOUTH",
            "city": "WOODWORTH",
            "state": "LA",
            "postal_code": "71485",
            "telephone_number": "318-484-9588",
            "fax_number": "318-484-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODWORTH FAMILY MEDICINE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "VANMOL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-484-9588",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "LA",
            "license": "119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1494437",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johannah Townson
• Vanmol LLC (Van Mol Pharmacy)
• Charles Jacob Vercher, PT, DPT
• Jarrod Lance Vercher
• Winn Community Health Center, Inc. (Caroline Dorman Jr High School Based Clinic)
• Woodworth Family Medicine Inc.

• Rural Health Clinic/Center in Woodworth, LA
• Providers in Woodworth, LA by specialty
• Rural Health Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.