Extremity Cma, LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

CM 27068 Issued in LA

Legal business name

EXTREMITY CMA, LLC

Practice address

2878 Tate Cove Rd
Ville Platte, LA 70586-6311

Phone

(337) 363-1237

Fax

(337) 363-1384

NPI assigned

Apr 5, 2013

Organization subpart

No

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

Authorized official

Name

Miss Chenile Tezeno

Title

Owner

Phone

(337) 363-1237

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365120000000",
    "number": "1659614865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2878 TATE COVE RD",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705866311",
            "telephone_number": "337-363-1237",
            "fax_number": "337-363-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2878 TATE COVE RD",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705866311",
            "telephone_number": "337-363-1237",
            "fax_number": "337-363-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTREMITY CMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-05",
        "last_updated": "2013-04-05",
        "status": "A",
        "authorized_official_last_name": "TEZENO",
        "authorized_official_first_name": "CHENILE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-363-1237",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "LA",
            "license": "CM 27068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; 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.