Organization Active NPI

Minden Medical Center

  • Clinical Social Worker
  • Minden, LA
National Provider Identifier
1689125072
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13289 Issued in LA
Legal business name
MINDEN MEDICAL CENTER
Practice address
1 Medical Plaza PL
Minden, LA 71055-3330
Phone
(318) 371-5638
NPI assigned
Oct 20, 2016
Last updated
Oct 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Authorized official

Name
John Crumbler
Title
Nurse Manager
Phone
(318) 371-5634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 13289 LA Primary

Addresses

Primary practice location

1 Medical Plaza PL
Minden, LA 71055-3330

Mailing address

1 Medical Plaza PL
Minden, LA 71055-3330

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir.yourcareuniverse.net/tenant/51c6b6d1-0692-4788-ba2b-65a21c495bcb

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1689125072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PLAZA PL",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PLAZA PL",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553330",
            "telephone_number": "318-371-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDEN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "CRUMBLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "NURSE MANAGER",
        "authorized_official_telephone_number": "318-371-5634"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "13289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.