Active NPI
Tunica Biloxi Tribe of Louisiana Tribal Office
- Clinic/Center
- Marksville, LA
National Provider Identifier
1912591561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- TUNICA BILOXI TRIBE OF LOUISIANA TRIBAL OFFICE
- Practice address
- 171 Melancon Rd
Marksville, LA 71351-3065 - Phone
- (318) 253-9767
- NPI assigned
- Feb 24, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cameron Mitchelle Chase
- Title
- Health Director
- Phone
- (318) 359-3659
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
171 Melancon Rd
Marksville, LA 71351-3065
Mailing address
171 Melancon Rd
Marksville, LA 71351-3065
Phone (318) 253-9767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220307000599 | TX | Part B Supplier - Clinic/Group Practice | 7113311267 |
Receives reassigned benefits from 3 practitioners 1 other NPI on this enrollment Practice locations: Marksville, LA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Multi-Specialty Clinic/Center
- Marksville, LA
- NPI 1427885821
O20220307000599
National Provider Directory
National Provider Directory- Tax ID family
- Tunica Biloxi Tribe of la
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Multi-Specialty Clinic/Center
- Marksville, LA
- NPI 1427885821
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Marksville, LA
- NPI 1679314926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712275200000",
"number": "1912591561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 MELANCON RD",
"city": "MARKSVILLE",
"state": "LA",
"postal_code": "713513065",
"telephone_number": "318-253-9767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 MELANCON RD",
"city": "MARKSVILLE",
"state": "LA",
"postal_code": "713513065",
"telephone_number": "318-253-9767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TUNICA BILOXI TRIBE OF LOUISIANA TRIBAL OFFICE",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-24",
"last_updated": "2024-04-05",
"certification_date": "2024-04-05",
"status": "A",
"authorized_official_last_name": "CHASE",
"authorized_official_first_name": "CAMERON",
"authorized_official_middle_name": "MITCHELLE",
"authorized_official_title_or_position": "HEALTH DIRECTOR",
"authorized_official_telephone_number": "318-359-3659"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marksville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.