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NRMC Physician Ipa Inc

Organization Active NPI Nephrology Physician · Natchitoches, LA

NPI 1669932778 · NPPES record last updated Jun 26, 2020

Key facts

NPI
1669932778
Entity type
Organization (NPI type 2)
Primary specialty
Nephrology Physician 207RN0300X
Legal business name
NRMC PHYSICIAN IPA INC
Practice address
601 Keyser Ave
Natchitoches, LA 71457-6020
Phone
(318) 214-5770
Fax
(318) 214-4624
NPI assigned
Mar 24, 2019
Organization subpart
Yes
Parent organization (as reported)
NRMC PHYSICIAN IPA INC

Authorized official

Name
William Bradford McCormick
Title
Cfo
Phone
(318) 214-4350

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 4

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

National Provider Directory

Tax ID family
NRMC Physician Ipa Inc (5 organizations share this tax ID)
Part of
NRMC Physician Ipa Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207RN0300X Yes

Addresses

Primary practice location

601 Keyser Ave
Natchitoches, LA 71457-6020

Mailing address

PO Box 2475
Natchitoches, LA 71457-2475
Phone (318) 214-5770

Other practice location 1

501 Keyser Ave
Natchitoches, LA 71457-6018
Phone (318) 214-4200

Other names

  • NRMC Nephrology Associates Doing business as

Other providers in Natchitoches, LA

All providers in Natchitoches, LA · Nephrology Physician in Louisiana

Sources for this page

Verify at the official NPI Registry.