Family Convenience Clinic

LBN: Provision Health Care Llc
Family Convenience Clinic is an health care organization with primary practice located at 2933 Cypress St Ste 1 Hall B, West Monroe LA 71291-5468. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Provision Health Care Llc can be contacted via phone (318) 322-3637, or through Taylor, Katelyn J via phone (318) 322-9252.

Contact Information

Primary practice address
2933 Cypress St Ste 1 Hall B West Monroe LA 71291-5468
Phone: (318) 322-3637
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Katelyn J FNP-C
Phone: (318) 322-9252

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1073248845
LBN Legal business name Provision Health Care Llc
DBA Doing business as Family Convenience Clinic
Authorized official Taylor, Katelyn J FNP-C
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2022
Last updated Jan 7th, 2024 - about 11 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073248845 NPPES
Louisiana MEDICAID 2607090

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