BJC Healthcare, LLC
Organization Active NPI Rural Health Clinic/Center · Montgomery, LA
NPI 1730429952 · NPPES record last updated Jul 12, 2018
Key facts
- NPI
- 1730429952
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- BJC HEALTHCARE, LLC
- Practice address
- 641 Rowena St
Montgomery, LA 71454 - Phone
- (318) 646-3000
- NPI assigned
- Feb 25, 2013
- Organization subpart
- No
Authorized official
- Name
- Matthew Sigler
- Title
- PMC
- Phone
- (318) 201-5321
Other NPIs on the same Medicare enrollment 5
Member of 1
Practitioners 3
-
Jessica Fowler, APRN, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Locations
2640 Country Club Rd
Lake Charles, LA 70605
Phone (337) 426-0919
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | LA | Yes |
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
- Montgomery Family Clinic
Other providers in Montgomery, LA
- Bartley Enterprise Drug Screening
- Donna Bartley
- Benjamin James Colvin
- Montgomery Clinic LLC
- Montgomery Pharmacy LLC
- Tara Sapp
- Winn Community Health Center, Inc.
All providers in Montgomery, LA · Rural Health Clinic/Center in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.