Stat Family Care of Jennings, LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

08095R Issued in LA

Legal business name

STAT FAMILY CARE OF JENNINGS, LLC

Practice address

1615 Johnson St
Suite a
Jennings, LA 70546-3650

Phone

(337) 616-9945

Fax

(337) 616-9946

NPI assigned

Jul 13, 2007

Last updated

Jul 16, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tina Luce

Title

Office Manager

Phone

(337) 616-9948

Specialties & licenses 1

Addresses

Practitioners 1

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.

• David W Hardey Sr., MD

  • Emergency Medicine Physician
  • Lake Charles, LA
  • NPI 1952345902
  NPD (past)

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1679772347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 JOHNSON ST",
            "address_2": "SUITE A",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705463650",
            "telephone_number": "337-616-9945",
            "fax_number": "337-616-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 JOHNSON ST",
            "address_2": "SUITE A",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705463650",
            "telephone_number": "337-616-9945",
            "fax_number": "337-616-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT FAMILY CARE OF JENNINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "LUCE",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "337-616-9948"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "LA",
            "license": "08095R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Jennings, LA
• Providers in Jennings, LA by specialty
• Preferred Provider Organization in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.