Organization Active NPI

Health Care First Medical Clinic

  • Rural Health Clinic/Center
  • Grosse Tete, LA
National Provider Identifier
1992888937
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
HEALTH CARE FIRST MEDICAL CLINIC
Practice address
18015 Willow Street
Grosse Tete, LA 70740
Phone
(225) 978-5909
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Mrs. Latoya Kiwan Leonard-Hughes, NURSE PRACTITIONER
Title
Owner
Phone
(225) 978-5909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

18015 Willow Street
Grosse Tete, LA 70740

Mailing address

PO Box 149
Grosse Tete, LA 70740-0149
Phone (225) 978-5909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070324000024 LA Part B Supplier - Clinic/Group Practice 0941209779 Receives reassigned benefits from 1 practitioner
Practice locations: Grosse Tete, LA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Health Care First Medical Clinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Health Care First Medical Clinic, LLCGrosse Tete, LA, CCN 193891 Rural health clinic Limited Partnership Interest (50%) Jun 23, 2006

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1992888937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 149",
            "city": "GROSSE TETE",
            "state": "LA",
            "postal_code": "707400149",
            "telephone_number": "225-978-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18015 WILLOW STREET",
            "city": "GROSSE TETE",
            "state": "LA",
            "postal_code": "70740",
            "telephone_number": "225-978-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CARE FIRST MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "LEONARD-HUGHES",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_middle_name": "KIWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-978-5909",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Tete, LA

Sources for this page

Verify at the official NPI Registry.