Progressive Acute Care Oakdale, LLC
Organization Active NPI Rural Health Clinic/Center · Oberlin, LA
NPI 1770686149 · NPPES record last updated Dec 15, 2011
Key facts
- NPI
- 1770686149
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- PROGRESSIVE ACUTE CARE OAKDALE, LLC
- Practice address
- 616 Court St
Oberlin, LA 70655 - Phone
- (337) 639-4390
- Fax
- (337) 639-4030
- NPI assigned
- Sep 7, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- PROGRESSIVE ACUTE CARE LLC
Authorized official
- Name
- Kirk Soileau
- Title
- Ceo
- Phone
- (318) 215-3225
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Elizabeth Family Health Clinic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
616 Court St
Oberlin, LA 70655
Mailing address
PO Box 629
Oakdale, LA 71463-0629
Phone (337) 639-4390
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1458554 | Medicaid | LA |
Other names
- Elizabeth Family Health Clinic
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- Carly J Robinson Haftmann
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All providers in Oberlin, 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 Dec 15, 2011. 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.