NPIMap

Organization Active NPI

Willis Medical LLC

  • Rural Health Clinic/Center
  • Arcadia, LA
National Provider Identifier
1639445927
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
WILLIS MEDICAL LLC
Practice address
600 Factory Outlet Dr
Ste 12
Arcadia, LA 71001-3057
Phone
(318) 263-4701
NPI assigned
Mar 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Melinda Willis, MD
Title
Owner
Phone
(318) 263-4701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

600 Factory Outlet Dr
Ste 12
Arcadia, LA 71001-3057

Mailing address

600 Factory Outlet Dr
Ste 12
Arcadia, LA 71001-3057
Phone (318) 263-4701

National Provider Directory

National Provider Directory
Tax ID family
Willis Medical LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1639445927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 FACTORY OUTLET DR",
            "address_2": "STE 12",
            "city": "ARCADIA",
            "state": "LA",
            "postal_code": "710013057",
            "telephone_number": "318-263-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 FACTORY OUTLET DR",
            "address_2": "STE 12",
            "city": "ARCADIA",
            "state": "LA",
            "postal_code": "710013057",
            "telephone_number": "318-263-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIS MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-263-4701",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.