NPIMap

Organization Active NPI

Westside Rural Health Services, LLC

  • Specialist
  • Plaquemine, LA
National Provider Identifier
1821125261
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
04572R Issued in LA
Legal business name
WESTSIDE RURAL HEALTH SERVICES, LLC
Doing business as
westside rural health clinic oc Plaquemine
Practice address
24730 Plaza Dr
Plaquemine, LA 70764-6827
Phone
(225) 687-0248
Fax
(225) 687-8395
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Authorized official

Name
Dr. Cyriac T Luke, MDNPI 1437181849
Title
Owner/ Ceo
Phone
(225) 687-0248

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 04572R LA Primary

Addresses

Primary practice location

24730 Plaza Dr
Plaquemine, LA 70764-6827

Mailing address

24730 Plaza Dr
Plaquemine, LA 70764-6827
Phone (225) 687-0248

Other identifiers 1

IdentifierTypeStateIssuer
1529460MedicaidLA

Other names 1

  • westside rural health clinic oc Plaquemine Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1821125261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24730 PLAZA DR",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707646827",
            "telephone_number": "225-687-0248",
            "fax_number": "225-687-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24730 PLAZA DR",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707646827",
            "telephone_number": "225-687-0248",
            "fax_number": "225-687-8395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE RURAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "LUKE",
        "authorized_official_first_name": "CYRIAC",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "225-687-0248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "04572R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1529460",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "westside rural health clinic oc Plaquemine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plaquemine, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; 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.