Minden Foot Clinic, Inc

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

Legal business name

MINDEN FOOT CLINIC, INC

Practice address

603 Fleming LN
Minden, LA 71055-3073

Phone

(318) 377-1128

Fax

(318) 377-6893

NPI assigned

Oct 24, 2006

Last updated

Jun 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer L Prouty

Title

President

Phone

(318) 377-1128

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1942384227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 FLEMING LN",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553073",
            "telephone_number": "318-377-1128",
            "fax_number": "318-377-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 FLEMING LN",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553073",
            "telephone_number": "318-377-1128",
            "fax_number": "318-377-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDEN FOOT CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "PROUTY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-377-1128"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1442844",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Minden Behavioral Health Clinic
• Minden Community Care Center, LLC (Town & Country Health & Rehab)
• Minden Family Care Center, LLC
• Minden Family Medicine LLC
• Minden Family Pharmacy LLC (Minden Family Pharmacy)
• Minden Home Health Services, Inc. (Professional Home Health of Minden)
• Minden Homecare Equipment & Uniforms
• Minden Internal Medicine & Pediatrics, LLC
• Minden Medical Center
• Minden Orthopaedics & Rehab Services, LLC

• Foot Surgery Podiatrist in Minden, LA
• Providers in Minden, LA by specialty
• Foot Surgery Podiatrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.