NPIMap

Organization Active NPI

BJC Healthcare, LLC

Doing business as Montgomery Family Clinic

  • Rural Health Clinic/Center
  • Montgomery, LA
National Provider Identifier
1730429952
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BJC HEALTHCARE, LLC
Doing business as
Montgomery Family Clinic
Practice address
641 Rowena St
Montgomery, LA 71454
Phone
(318) 646-3000
NPI assigned
Feb 25, 2013
Last updated
Jul 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Authorized official

Name
Matthew Sigler
Title
PMC
Phone
(318) 201-5321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X LA Primary

Addresses

Primary practice location

641 Rowena St
Montgomery, LA 71454

Mailing address

641 Rowena Street
Montgomery, LA 71454-3636
Phone (318) 646-3000

Other names 1

  • Montgomery Family Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070320000485 LA Part B Supplier - Clinic/Group Practice 5597767244 Receives reassigned benefits from 41 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cottonport, LA; Mansura, LA; Marksville, LA; Palmetto, LA; Simmesport, LA

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531353600000",
    "number": "1730429952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 ROWENA STREET",
            "city": "MONTGOMERY",
            "state": "LA",
            "postal_code": "714543636",
            "telephone_number": "318-646-3000",
            "fax_number": "318-646-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 ROWENA ST",
            "city": "MONTGOMERY",
            "state": "LA",
            "postal_code": "71454",
            "telephone_number": "318-646-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BJC HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2018-07-12",
        "status": "A",
        "authorized_official_last_name": "SIGLER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PMC",
        "authorized_official_telephone_number": "318-201-5321"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montgomery Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Montgomery Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.