Fastrac Medical Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

AP05926 Issued in LA

Legal business name

FASTRAC MEDICAL CENTER

Practice address

213 Ruelle Du Chene Dr
Madisonville, LA 70447-3109

Phone

(601) 668-9843

NPI assigned

Mar 7, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Rory Ladell Bell, N/A

Title

Cfo

Phone

(504) 259-1834

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1267920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267920000000",
    "number": "1972826824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 RUELLE DU CHENE DR",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704473109",
            "telephone_number": "601-668-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 RUELLE DU CHENE DR",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704473109",
            "telephone_number": "601-668-9843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASTRAC MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-07",
        "last_updated": "2010-03-07",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "RORY",
        "authorized_official_middle_name": "LADELL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "504-259-1834",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "AP05926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Bordelon Easterly
• Eric Ehrensing, MD Apc
• Olivia Drake Esquerre, PMHNP-BC
• Daniela Schwambach Kano Eversgerd, D.M.D.
• Hunter Farrar, PHARM.D.
• Robert Faucheux, MD
• Faw Services , LLC
• Ferrara Family Dentistry LLC
• Frank Joseph Ferrara II, DDS
• Marlena Ferrara, RD

• Primary Care Clinic/Center in Madisonville, LA
• Providers in Madisonville, 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 Mar 7, 2010; 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.