NPIMap

Organization Active NPI

CLHG-Avoyelles LLC

Doing business as Marksville Family Care Center

  • Rural Health Clinic/Center
  • Marksville, LA
National Provider Identifier
1679134407
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CLHG-AVOYELLES LLC
Doing business as
Marksville Family Care Center
Practice address
5541 Highway 1
Marksville, LA 71351-2650
Phone
(318) 240-6000
NPI assigned
Jun 24, 2019
Last updated
Oct 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
CLHG-AVOYELLES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Authorized official

Name
Timothey Curry
Title
Ceo
Phone
(318) 754-5052

Specialties & licenses 1

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

Addresses

Primary practice location

5541 Highway 1
Marksville, LA 71351-2650

Mailing address

PO Box 249
Marksville, LA 71351-0249
Phone (318) 240-6000

Other names 1

  • Marksville Family Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180828001494 LA Part B Supplier - Clinic/Group Practice 8921380528 Receives reassigned benefits from 87 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Marksville, LA; Moreauville, LA; Lecompte, LA; Hessmer, LA; Cottonport, LA
O20190917002276 LA Part A Provider - Rural Health Clinic 8921380528 Practice locations: Marksville, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679134407. Details of each certification follow.

Rural health clinic certification: CCN 198519

Legal name
CLHG-AVOYELLES LLC
Doing business as
MARKSVILLE FAMILY CARE CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 1, 2019
Last certification
Feb 27, 2018
Ownership / control type
2A
Organization structure
LLCProprietary
Enrollment address
5541 Highway 1
Marksville, LA 71351-2650
Related CCNs
190099

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 7

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

National Provider Directory

National Provider Directory
Part of
CLHG-Avoyelles LLC

Locations

2906 Main St
Hessmer, LA 71341
Phone (318) 315-7093

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Donald Cameron Individual 5% Or Greater Direct Ownership Interest Sep 1, 2016 20%
Corporate OfficerBoard Member Sep 1, 2019
Corporate DirectorBoard Member Sep 1, 2019
Operational/Managerial ControlBoard Member Sep 1, 2019
Rock Bordelon Individual 5% Or Greater Direct Ownership Interest Sep 1, 2019 65%
Corporate OfficerBoard Member Sep 1, 2019
Corporate DirectorBoard Member Sep 1, 2019
Allegiance Health Management Inc Organization, Bossier City, LA Corporation Operational/Managerial Control Sep 1, 2019
Timothey Curry Individual Corporate OfficerCeo Sep 1, 2019
Corporate DirectorCeo Sep 1, 2019
W-2 Managing EmployeeCeo Sep 1, 2019
Operational/Managerial ControlCeo Sep 1, 2019
Scott Markstrom Individual 5% Or Greater Direct Ownership Interest Sep 1, 2019 5%
Corporate OfficerBoard Member Sep 1, 2019
Corporate DirectorBoard Member Sep 1, 2019
Cameron Investments LLC Organization, Shreveport, LA LLC 5% Or Greater Direct Ownership Interest Sep 1, 2019 10%

Facilities with the same owner 53

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 53

Change-of-ownership history 1

DateEventCounterparty
Sep 1, 2019 Change of OwnershipThis provider was the buyer Christus Physician GroupCCN 193820, LA, NPI 1285652156

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1679134407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713510249",
            "telephone_number": "318-240-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5541 HIGHWAY 1",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713512650",
            "telephone_number": "318-240-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLHG-AVOYELLES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLHG-AVOYELLES LLC",
        "enumeration_date": "2019-06-24",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "CURRY",
        "authorized_official_first_name": "TIMOTHEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-754-5052"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marksville Family Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marksville Family Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marksville, LA

Sources for this page

Verify at the official NPI Registry.