NPIMap

Organization Active NPI

Florida Parishes Human Services Authority

Doing business as FPHSA Primary Care

  • Primary Care Clinic/Center
  • Hammond, LA
National Provider Identifier
1679128292
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
FLORIDA PARISHES HUMAN SERVICES AUTHORITY
Doing business as
FPHSA Primary Care
Practice address
835 Pride Dr Ste B
Hammond, LA 70401-9527
Phone
(985) 543-4333
Fax
(985) 543-4817
NPI assigned
Aug 9, 2019
Last updated
Aug 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Authorized official

Name
Thomas Cassen Arthur
Title
Accountant
Phone
(985) 543-4333

Specialties & licenses 1

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

Addresses

Primary practice location

835 Pride Dr Ste B
Hammond, LA 70401-9527

Mailing address

835 Pride Dr Ste B
Hammond, LA 70401-9527
Phone (985) 543-4333

Other identifiers 1

IdentifierTypeStateIssuer
1169536MedicaidLA

Other names 1

  • FPHSA Primary Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150408001452 LA Part B Supplier - Clinic/Group Practice 0446578215 Receives reassigned benefits from 69 practitioners
5 other NPIs on this enrollment
Practice locations: Slidell, LA; Denham Springs, LA; Mandeville, LA; Bogalusa, LA; Hammond, LA

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0981191Florida Parishes Human Services Authority835 Pride Drive, Ste B, Hammond, LA 70401Certificate of waiverDec 19, 2026

National Provider Directory

National Provider Directory
Tax ID family
Fphsa Washington Addictive Disorders Clinic11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Practitioners & affiliated clinicians

Practitioners 75

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.

View all 75

NPI Registry JSON

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1679128292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 PRIDE DR STE B",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704019527",
            "telephone_number": "985-543-4333",
            "fax_number": "985-543-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 PRIDE DR STE B",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704019527",
            "telephone_number": "985-543-4333",
            "fax_number": "985-543-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA PARISHES HUMAN SERVICES AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "ARTHUR",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "CASSEN",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "985-543-4333"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1169536",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FPHSA Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.