Green Clinic Surgical Hospital Crna Group

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

GREEN CLINIC SURGICAL HOSPITAL CRNA GROUP

Practice address

1118 S Farmerville St
Ruston, LA 71270-5914

Phone

(318) 232-7700

Fax

(318) 232-1092

NPI assigned

Dec 13, 2007

Last updated

Dec 13, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

GREEN CLINIC SURGICAL HOSPITALAs reported in NPPES

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

Authorized official

Name

Mr. James McClung

Title

Administrator

Phone

(318) 232-7700

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Green Clinic Surgical Hospital Crna Group

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Green Clinic Surgical Hospital, LLC

  • General Acute Care Hospital
  • Ruston, LA
  • NPI 1700975083
  NPPES parent name

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1881877835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 S FARMERVILLE ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705914",
            "telephone_number": "318-232-7700",
            "fax_number": "318-232-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 S FARMERVILLE ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705914",
            "telephone_number": "318-232-7700",
            "fax_number": "318-232-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN CLINIC SURGICAL HOSPITAL CRNA GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREEN CLINIC SURGICAL HOSPITAL",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "MCCLUNG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-232-7700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF LA",
            "identifier": "H4674",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Green Clinic LLC
• Green Clinic LLC (Quickcare of Ruston)
• Green Clinic LLC
• Green Clinic LLC (Green Clinic Rehabilitation Services)
• Green Clinic Surgical Center
• Green Clinic Surgical Hospital, LLC
• Brittany Green
• Janie Green
• Jena Paige Green
• Kelly Green, DPT

• Certified Registered Nurse Anesthetist in Ruston, LA
• Providers in Ruston, LA by specialty
• Certified Registered Nurse Anesthetist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.