Rural Health Care Development Corporation LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

RURAL HEALTH CARE DEVELOPMENT CORPORATION LLC

Doing business as

Associate Family medical center of Bogalusa

Practice address

4700 Wichers Dr Ste 206
Marrero, LA 70072-3054

Phone

(985) 768-1995

Fax

(504) 340-4636

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Tina Marie Benandi

Title

President

Phone

(985) 768-1995

Specialties & licenses 1

Addresses

Other names 1

• Associate Family medical center of Bogalusa Doing business as

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1801840210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 WICHERS DR STE 206",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723054",
            "telephone_number": "985-768-1995",
            "fax_number": "504-340-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 WICHERS DR STE 206",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723054",
            "telephone_number": "985-768-1995",
            "fax_number": "504-340-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL HEALTH CARE DEVELOPMENT CORPORATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "BENANDI",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-768-1995",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associate Family medical center of Bogalusa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Haley Roule
• Ebony Roussell
• Mitchell I Rubin, MD
• Jahnavi Rudrakshala, MD
• Taylor Brianne Ruffin
• Sheryl Rush
• Emily Russell
• Raquel Russell
• Michael Russo, M.D.
• Sarah Rustom, DDS

• Rural Health Clinic/Center in Marrero, LA
• Providers in Marrero, 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 Dec 29, 2011; 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.