NPIMap

Organization Active NPI

Louisiana Heart Hospital Proffesion Fee, LLC

  • Diagnostic Radiology Physician
  • Lacombe, LA
National Provider Identifier
1710166368
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
LOUISIANA HEART HOSPITAL PROFFESION FEE, LLC
Practice address
64030 La Hwy 434
Lacombe, LA 70445
Phone
(985) 649-1152
Fax
(985) 649-1217
NPI assigned
Oct 31, 2007
Last updated
Apr 24, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
LOUISIANA HEART HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Mr. Richard Priore
Title
Interim Ceo
Phone
(985) 690-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

64030 La Hwy 434
Lacombe, LA 70445

Mailing address

PO Box 840596
Dallas, TX 75284-0596
Phone (985) 649-1152

Other identifiers 1

IdentifierTypeStateIssuer
0000000OtherLAMEDICARE PIN IS PENDING

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1710166368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840596",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840596",
            "telephone_number": "985-649-1152",
            "fax_number": "985-649-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64030 LA HWY 434",
            "city": "LACOMBE",
            "state": "LA",
            "postal_code": "70445",
            "telephone_number": "985-649-1152",
            "fax_number": "985-649-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA HEART HOSPITAL PROFFESION FEE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOUISIANA HEART HOSPITAL",
        "enumeration_date": "2007-10-31",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "PRIORE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "985-690-7500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN IS PENDING",
            "identifier": "0000000",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacombe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.