NPIMap

Organization Active NPI

Northeast Rural Health Center

  • Clinic/Center
  • Monroe, LA
National Provider Identifier
1821106444
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NORTHEAST RURAL HEALTH CENTER
Practice address
1108 Stubbs Avenue
Monroe, LA 71207
Phone
(318) 387-4878
Fax
(318) 387-1317
NPI assigned
Aug 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Henry L Tennant Sr.
Title
Administrator
Phone
(318) 387-4878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1108 Stubbs Avenue
Monroe, LA 71207

Mailing address

PO Box 2141
Monroe, LA 71207-0000
Phone (318) 387-4878

Other identifiers 1

IdentifierTypeStateIssuer
1947695MedicaidLA

National Provider Directory

National Provider Directory

Locations

1108 Stubbs Ave
Monroe, LA 71201
Phone (318) 251-1233

Practitioners & affiliated clinicians

Practitioners 9

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": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821106444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2141",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712070000",
            "telephone_number": "318-387-4878",
            "fax_number": "318-387-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 STUBBS AVENUE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71207",
            "telephone_number": "318-387-4878",
            "fax_number": "318-387-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST RURAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TENNANT",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-387-4878",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1947695",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.