Allegiance Medical Clinic of Dequincy LLC
Organization Active NPI Rural Health Clinic/Center · Dequincy, LA
NPI 1760136766 · NPPES record last updated Feb 8, 2022
Key facts
- NPI
- 1760136766
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- ALLEGIANCE MEDICAL CLINIC OF DEQUINCY LLC
- Practice address
- 601 W 4TH St
Dequincy, LA 70633-3301 - Phone
- (337) 786-6161
- Fax
- (337) 786-7999
- NPI assigned
- Feb 8, 2022
- Organization subpart
- No
Authorized official
- Name
- Mrs. Renee Michelle Willis
- Title
- Clinic Manager
- Phone
- (337) 786-6161
Corporate family (same tax ID) 1
Practitioners 1
National Provider Directory
- Tax ID family
- Allegiance Medical Clinic of Dequincy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
601 W 4TH St
Dequincy, LA 70633-3301
Mailing address
601 W 4TH St
Dequincy, LA 70633-3301
Phone (337) 786-6161
Other providers in Dequincy, LA
- All Family Attendant Care LLC
- All Family Attendant Care, LLC
- All Family Care, LLC
- Allegiance Medical Clinic of Dequincy LLC
- Winston Batchelor
- Peter T. Bayles
- Robin Shirley Bedgood
- Mitchell K Bowers
- Brookshire Brothers Inc
All providers in Dequincy, 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 Feb 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.