Complete Family Care of Avoyelles

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

200235 Issued in LA

Legal business name

COMPLETE FAMILY CARE OF AVOYELLES

Practice address

4218 Highway 1192
Marksville, LA 71351-4710

Phone

(318) 240-1959

Fax

(318) 240-1960

NPI assigned

Jun 28, 2007

Last updated

Oct 18, 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

Miss Dixie Guillot Broussard, M.D.

Title

Owner

Phone

(337) 356-6011

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 2

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.

• Dixie Guillot Clement, M.D.

  • Family Medicine Physician
  • Marksville, LA
  • NPI 1851517734
  Medicare reassignment NPD
• Mark Anthony Schneider, M.D.

  • Family Medicine Physician
  • Lafayette, LA
  • NPI 1497741615
  NPD (past)

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1689871196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1140",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713511140",
            "telephone_number": "318-240-1959",
            "fax_number": "318-240-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4218 HIGHWAY 1192",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713514710",
            "telephone_number": "318-240-1959",
            "fax_number": "318-240-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE FAMILY CARE OF AVOYELLES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "BROUSSARD",
        "authorized_official_first_name": "DIXIE",
        "authorized_official_middle_name": "GUILLOT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-356-6011",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "200235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanlissa Jordan Coleman
• Colonial Nursing and Rehabilitation Center, LLC (Colonial Nursing and Rehabilitation Center)
• Colonial Nursing Home Inc
• Compass Behavioral Center of Alexandria, LLC
• Compass Group USA, Inc. by & Through Its Bateman Division
• Heather Plauche Cormier, NP
• Clara Basco Coutee, FNP
• Shaun Dauzat Sr.
• Wendy Pauline Dauzat, N.P
• Gabrielle David

• Primary Care Clinic/Center in Marksville, LA
• Providers in Marksville, LA by specialty
• Primary Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.