Organization Active NPI

Northside High School Health Clinic

  • General Practice Physician
  • Lafayette, LA
National Provider Identifier
1760674717
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
NORTHSIDE HIGH SCHOOL HEALTH CLINIC
Practice address
301 Dunand St
Lafayette, LA 70501-2215
Phone
(337) 261-6995
NPI assigned
Aug 14, 2007
Last updated
May 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Authorized official

Name
William F Barrow
Title
Chief Executive Officer
Phone
(337) 289-2999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

301 Dunand St
Lafayette, LA 70501-2215

Mailing address

301 Dunand St
Lafayette, LA 70501-2215
Phone (337) 261-6995

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0919740Northside High School Health Center301 Dunand St, Lafayette, LA 70501Certificate of waiverSep 14, 2026

National Provider Directory

National Provider Directory
Tax ID family
Our Lady of Lourdes RMC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

301 Dunand St
Lafayette, LA 70501
Phone (337) 470-3362

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1760674717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 DUNAND ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705012215",
            "telephone_number": "337-261-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 DUNAND ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705012215",
            "telephone_number": "337-261-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE HIGH SCHOOL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "BARROW",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "337-289-2999"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.