NPIMap

Organization Active NPI

Primary Care Providers for a Healthy Feliciana Inc

Doing business as RKM Primary Care

  • Federally Qualified Health Center (FQHC)
  • Clinton, LA
National Provider Identifier
1699878645
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA INC
Doing business as
RKM Primary Care
Practice address
11990 Jackson Street
Clinton, LA 70722-3210
Phone
(225) 683-5292
Fax
(225) 683-3411
NPI assigned
Sep 6, 2006
Last updated
Jan 28, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Authorized official

Name
Ginger A Hunt, FPNP-CNPI 1245233964
Title
Ceo
Phone
(225) 683-5292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

11990 Jackson Street
Clinton, LA 70722-3210

Mailing address

P.O. Box 395
Clinton, LA 70722-0395
Phone (225) 683-5292

Other names 1

  • RKM Primary Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20040224000173 LA Part B Supplier - Clinic/Group Practice 1052220985 Receives reassigned benefits from 99 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Springfield, LA; Slaughter, LA; Port Allen, LA; Jackson, LA; Loranger, LA; Clinton, LA; Baton Rouge, LA; Livingston, LA
O20060209000284 LA Part A Provider - Federally Qualified Health Center (FQHC) 1052220985 Practice locations: Clinton, LA
O20150904000225 LA Part A Provider - Federally Qualified Health Center (FQHC) 1052220985 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Springfield, LA
O20170525000701 LA Part A Provider - Federally Qualified Health Center (FQHC) 1052220985 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Loranger, LA

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1699878645. Details of each certification follow.

Federally qualified health center certification: CCN 191847

Legal name
PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 10, 2006
Last certification
Feb 10, 2006
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 6, 1998 in LA
Enrollment address
11990 Jackson St
Clinton, LA 70722-3210

Federally qualified health center certification: CCN 191940

Legal name
PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA, INC
Doing business as
RKM PRIMARY CARE SPRINGFIELD
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 14, 2015
Last certification
Sep 14, 2015
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 6, 1998 in LA
Enrollment address
27124 Highway 42
Springfield, LA 70462-7979

Federally qualified health center certification: CCN 191970

Legal name
PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA, INC
Doing business as
RKM PRIMARY CARE LORANGER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 27, 2017
Last certification
Jun 27, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 6, 1998 in LA
Enrollment address
54016 Highway 1062
Loranger, LA 70446-3538

Other NPIs on the same Medicare enrollment 11

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
19D0960606RKM Primary Care11990 Jackson Street, Clinton, LA 70722Certificate of waiverMay 13, 2027

National Provider Directory

National Provider Directory
Part of
RKM Primary

Locations

28315 S Frost Rd
Livingston, LA 70754
Phone (225) 283-1356

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Richard C Holton Individual Corporate DirectorBoard Member Oct 25, 2007
Corporate Director Oct 1, 2007
Alfreda D Jackson Individual Corporate DirectorBoard Member Sep 29, 2009
Veronica D Easterly Individual Corporate DirectorBoard Member Sep 30, 2010
Corporate DirectorBoard Member Mar 28, 2013
Kenny Sanders Individual Corporate DirectorBoard Member Sep 22, 2011
Corporate Director Sep 22, 2011
Christi C Hunt Individual Corporate OfficerCeo Oct 17, 2020
W-2 Managing EmployeeCeo Oct 17, 2020
Operational/Managerial ControlCeo Oct 17, 2020
Corporate OfficerCeo Oct 17, 2021
Virdie Moeller Individual Corporate DirectorBoard Member Mar 28, 2013
Corporate Director Mar 28, 2013
Nicole C Wilcher Individual Corporate DirectorBoard Member Mar 28, 2013
Corporate Director Oct 1, 2013
Wayne Birt Individual Corporate DirectorBoard Member Aug 31, 2020
Louis J Kent Individual Corporate DirectorBoard Member Aug 6, 1998
Corporate Director Sep 1, 1998
Columbus Hutchinson Individual Corporate DirectorBoard Member Mar 29, 2018
Corporate DirectorDirector Mar 29, 2018
Anita P Cambre Individual Corporate DirectorBoard Member Oct 25, 2007
Corporate Director Oct 25, 2007
Mark Kemp Individual Corporate DirectorBoard Member Mar 28, 2013
Sheree M Harrell Individual Corporate DirectorBoard Member Aug 31, 2022

Practitioners & affiliated clinicians

Practitioners 68

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 68

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1699878645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 395",
            "city": "CLINTON",
            "state": "LA",
            "postal_code": "707220395",
            "telephone_number": "225-683-5292",
            "fax_number": "225-683-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11990 JACKSON STREET",
            "city": "CLINTON",
            "state": "LA",
            "postal_code": "707223210",
            "telephone_number": "225-683-5292",
            "fax_number": "225-683-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA INC",
        "enumeration_date": "2006-09-06",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "GINGER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-683-5292",
        "authorized_official_credential": "FPNP-C"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RKM Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RKM Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, LA

Sources for this page

Verify at the official NPI Registry.