NPIMap

Organization Active NPI

JC Clinical Services

  • General Practice Physician
  • Homer, LA
National Provider Identifier
1730725003
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
JC CLINICAL SERVICES
Practice address
831 W Main St
Homer, LA 71040-3322
Phone
(888) 505-1989
Fax
(318) 404-1956
NPI assigned
Nov 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
John S Bannister
Title
Director
Phone
(888) 505-1989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

831 W Main St
Homer, LA 71040-3322

Mailing address

PO Box 729
Benton, LA 71006-0729
Phone (888) 505-1989

Other names 1

  • CLAIBORNE CLINICAL SERVICES Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1730725003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 729",
            "city": "BENTON",
            "state": "LA",
            "postal_code": "710060729",
            "telephone_number": "888-505-1989",
            "fax_number": "318-404-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 W MAIN ST",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "710403322",
            "telephone_number": "888-505-1989",
            "fax_number": "318-404-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "BANNISTER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "888-505-1989"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLAIBORNE CLINICAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CLAIBORNE CLINICAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Homer, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.