NPIMap

Organization Active NPI

Raymond F. Schneider Memorial Clinic, LLC

  • Rural Health Clinic/Center
  • New Iberia, LA
National Provider Identifier
1790952893
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
129 Issued in LA
Legal business name
RAYMOND F. SCHNEIDER MEMORIAL CLINIC, LLC
Practice address
1302 Ed Broussard Road
New Iberia, LA 70563
Phone
(337) 229-7929
NPI assigned
May 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Nancy Schneider
Title
Owner
Phone
(337) 229-7929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 129 LA Primary

Addresses

Primary practice location

1302 Ed Broussard Road
New Iberia, LA 70563

Mailing address

PO Box 408
1302 Ed Broussard Road
Loreauville, LA 70552
Phone (337) 229-7929

Other identifiers 1

IdentifierTypeStateIssuer
1037591MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1790952893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 408",
            "address_2": "1302 ED BROUSSARD ROAD",
            "city": "LOREAUVILLE",
            "state": "LA",
            "postal_code": "70552",
            "telephone_number": "337-229-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 ED BROUSSARD ROAD",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "70563",
            "telephone_number": "337-229-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND F. SCHNEIDER MEMORIAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-229-7929"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "LA",
            "license": "129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1037591",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.