Organization Active NPI

Family Practice Center of Eunice

  • Family Medicine Physician
  • Eunice, LA
National Provider Identifier
1851455406
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
024327 Issued in LA
Legal business name
FAMILY PRACTICE CENTER OF EUNICE
Practice address
450 Moosa Blvd
Suite C
Eunice, LA 70535-3610
Phone
(337) 550-0067
Fax
(337) 550-0070
NPI assigned
Dec 20, 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
Dr. Elizabeth Wood McLain, MDNPI 1851307748
Title
President
Phone
(337) 550-0067

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
Family Medicine Physician 207Q00000X 024327 LA Primary

Addresses

Primary practice location

450 Moosa Blvd
Suite C
Eunice, LA 70535-3610

Mailing address

145 Wayne Rd
Eunice, LA 70535-8241
Phone (337) 550-0067

Other identifiers 1

IdentifierTypeStateIssuer
1186228MedicaidLA

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, 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": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851455406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 WAYNE RD",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705358241",
            "telephone_number": "337-550-0067",
            "fax_number": "337-550-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MOOSA BLVD",
            "address_2": "SUITE C",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705353610",
            "telephone_number": "337-550-0067",
            "fax_number": "337-550-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE CENTER OF EUNICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCLAIN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "WOOD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-550-0067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "024327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1186228",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eunice, 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.