NPIMap

Organization Active NPI

Minden Physician Practices LLC

  • Rural Health Clinic/Center
  • Minden, LA
National Provider Identifier
1821355264
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MINDEN PHYSICIAN PRACTICES LLC
Practice address
102 Office Park Dr
Minden, LA 71055-3086
Phone
(318) 377-2885
Fax
(318) 377-2886
NPI assigned
Apr 23, 2012
Organization subpart
Yes
Parent organization
MINDEN PHYSICIAN PRACTICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Authorized official

Name
Jess N Judy
Title
President
Phone
(615) 372-8500

Specialties & licenses 1

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

Addresses

Primary practice location

102 Office Park Dr
Minden, LA 71055-3086

Mailing address

102 Office Park Dr
Minden, LA 71055-3086
Phone (318) 377-2885

Other names 1

  • STELL FAMILY PRACTICE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Minden Physician Practices4 organizations share this tax ID, including this one
Part of
Minden Physician Practices

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1821355264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 OFFICE PARK DR",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553086",
            "telephone_number": "318-377-2885",
            "fax_number": "318-377-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 OFFICE PARK DR",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553086",
            "telephone_number": "318-377-2885",
            "fax_number": "318-377-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDEN PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MINDEN PHYSICIAN PRACTICES LLC",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "JUDY",
        "authorized_official_first_name": "JESS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-372-8500"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STELL FAMILY PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minden, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.