St. Mary Primary Care, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ST. MARY PRIMARY CARE, LLC

Practice address

1435 Lela St
Franklin, LA 70538-3127

Phone

(337) 828-3090

Fax

(337) 828-3095

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Keidra Albertine Welch-Spencer, M.D.

Title

Physician Owner

Phone

(337) 828-3090

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Spencer and Son Investments, LLC Former legal business name

Locations

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1972633618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 LELA ST",
            "city": "FRANKLIN",
            "state": "LA",
            "postal_code": "705383127",
            "telephone_number": "337-828-3090",
            "fax_number": "337-828-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 LELA ST",
            "city": "FRANKLIN",
            "state": "LA",
            "postal_code": "705383127",
            "telephone_number": "337-828-3090",
            "fax_number": "337-828-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "WELCH-SPENCER",
        "authorized_official_first_name": "KEIDRA",
        "authorized_official_middle_name": "ALBERTINE",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "337-828-3090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012246",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spencer and Son Investments, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• St Theresas Hospice & Palliative Care
• Madison A St. Blanc
• St. Kateri'S Family Care Clinic
• St. Mary Parish School Board
• St. Mary Parish School Board
• Steven S McPherson MD LLC
• Sheron Steward, LPC
• Patricia M Stewart
• Carl Taylor Stirling, M.D., F.A.C.S.
• Suzanne J. Stirling, RPH

• Primary Care Clinic/Center in Franklin, LA
• Providers in Franklin, LA by specialty
• Primary Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.