Allegiance Medical Clinic of Dequincy LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 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

Last updated

Feb 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Renee Michelle Willis

Title

Clinic Manager

Phone

(337) 786-6161

Specialties & licenses 1

Addresses

Tax ID family

Allegiance Medical Clinic of Dequincy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Allegiance Medical Clinic of Dequincy LLC

  • Rural Health Clinic/Center
  • Dequincy, LA
  • NPI 1073267076
  NPD tax ID

Practitioners 1

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.

• Jacob Damien Leger, MD

  • Family Medicine Physician
  • Lake Charles, LA
  • NPI 1346701422
  NPD

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1760136766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W 4TH ST",
            "city": "DEQUINCY",
            "state": "LA",
            "postal_code": "706333301",
            "telephone_number": "337-786-6161",
            "fax_number": "337-786-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 4TH ST",
            "city": "DEQUINCY",
            "state": "LA",
            "postal_code": "706333301",
            "telephone_number": "337-786-6161",
            "fax_number": "337-786-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGIANCE MEDICAL CLINIC OF DEQUINCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "337-786-6161",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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, DDS
• Robin Shirley Bedgood, NP
• Mitchell K Bowers, P.T.
• Brookshire Brothers Inc (Brookshire Brothers Pharmacy)

• Rural Health Clinic/Center in Dequincy, LA
• Providers in Dequincy, LA by specialty
• Rural Health Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.