NPIMap

Organization Active NPI

Madison Parish Service District Hospital

Doing business as Madison Parish Health Clinic

  • Internal Medicine Physician
  • Tallulah, LA
National Provider Identifier
1902987548
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MADISON PARISH SERVICE DISTRICT HOSPITAL
Doing business as
Madison Parish Health Clinic
Practice address
10 Crothers Dr
Tallulah, LA 71282-5510
Phone
(318) 574-2764
Fax
(318) 574-3398
NPI assigned
Oct 18, 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
Mr. Wendell Alford
Title
Administrator
Phone
(318) 574-2374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

10 Crothers Dr
Tallulah, LA 71282-5510

Mailing address

10 Crothers Dr
Tallulah, LA 71282-5510
Phone (318) 574-2764

Other names 1

  • Madison Parish Health Clinic Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

10 Crothers Dr
Tallulah, LA 71282
Phone (318) 574-2764

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902987548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CROTHERS DR",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712825510",
            "telephone_number": "318-574-2764",
            "fax_number": "318-574-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CROTHERS DR",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712825510",
            "telephone_number": "318-574-2764",
            "fax_number": "318-574-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON PARISH SERVICE DISTRICT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALFORD",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-574-2374",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Parish Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallulah, 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.