Start Community Clinic, LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

141 Issued in LA

Legal business name

START COMMUNITY CLINIC, LLC

Practice address

5975 Federal 80 Hwy
Rayville, LA 71269-7750

Phone

(318) 728-4368

Fax

(318) 728-4397

NPI assigned

May 7, 2009

Organization subpart

No

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

Authorized official

Name

Jennifer G. Bennett, APRN

Title

Owner

Phone

(318) 728-4368

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roland Ponarski, M.D.

  • Internal Medicine Physician
  • Monroe, LA
  • NPI 1104921741
  NPD (past)

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1760616585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "START",
            "state": "LA",
            "postal_code": "712790367",
            "telephone_number": "318-728-4368",
            "fax_number": "318-728-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5975 FEDERAL 80 HWY",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712697750",
            "telephone_number": "318-728-4368",
            "fax_number": "318-728-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "START COMMUNITY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-728-4368",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "LA",
            "license": "141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1450791",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027481",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J. Eric Snipes, D.C.
• Mirandi Rae Spencer, APRN-CNP
• Mary Spicer, PHARMD
• Emily Suzanne Stansbury, APRN, FNP-C
• Start Community Clinic, LLC
• Christian Stevens, PHARMD
• Mary Pauline Stewart, RN
• Linda H Stodghill, NURSE PRACTITIONER
• Terri Hillman Sylvestri, F.N.P.
• Sonji Tarver

• Rural Health Clinic/Center in Rayville, LA
• Providers in Rayville, 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 Aug 5, 2009; 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.