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DESOTO REGIONAL FAMILY MEDICINE - MANSFIELD
NPI 1043359839
Clinic/Center - Rural Health in Mansfield, LA

Active since February 06, 2007CLIA 19D0463227 · Certificate of Compliance
130 JEFFERSON ST, MANSFIELD, LA 71052(318) 872-2700(318) 872-6214 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 27, 2023, Jul 21, 2022, May 4, 2020 and 1 more (4 updates tracked since 2018).

About Desoto Regional Family Medicine - Mansfield NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESOTO REGIONAL FAMILY MEDICINE - MANSFIELD (NPI 1043359839) is a healthcare organization registered as a rural health in Mansfield, Louisiana and active in the NPI registry since February 2007. The organization holds a CLIA Certificate of Compliance certificate valid through October 26, 2026 and lists Hallie Deutsch, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1043359839
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameDESOTO REGIONAL FAMILY MEDICINE
Location Address130 JEFFERSON STMansfield, LA 71052-2602
Mailing Address130 Jefferson StMansfield, LA 71052-2602 · (318) 872-2700 · Fax (318) 872-6214
Phone(318) 872-2700
Fax(318) 872-6214
Organization SubpartNo
Authorized OfficialHallie DeutschCredentialing Specialist · (318) 871-3101
Enumeration DateFebruary 6, 2007
Last NPPES UpdateMarch 27, 20234 updates tracked since enumeration
NPPES CertifiedMarch 27, 2023
✔ NPI 1043359839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/CenterTaxonomy 261Q00000X
130 JEFFERSON ST, Mansfield, LA 71052
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Other Names 1

Doing Business AsDesoto Regional Family Medicine - Mansfield

Other Identifiers 2

OtherCN5547LA · Rr Medicare
Medicaid1948357LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 19D0463227

Desoto Regional Family Medicine · Mansfield, LA
Active · expires Oct 26, 2026
CLIA Number19D0463227
Laboratory TypeRural Health Clinic
Certificate Effective DateOctober 27, 2024
Certificate Expiration DateOctober 26, 2026
Laboratory DirectorJill Ferguson
Laboratory Phone(318) 270-3154
Laboratory LocationDesoto Regional Family Medicine130 Jefferson Street, Mansfield, LA 71052
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DESOTO HOSPITAL ASSOCIATION
Clinic/Center (Rural Health)
130 JEFFERSON ST
MANSFIELD, LA 71052
De Soto Parish (318) 872-2700
MIKKI MARIE OLSSON LPC
Counselor (Mental Health)
130 JEFFERSON ST
MANSFIELD, LA 71052
De Soto Parish (318) 872-2700
JACQUELINE LOCHE NP-C
Nurse Practitioner
130 JEFFERSON ST
MANSFIELD, LA 71052
De Soto Parish (318) 872-2700
TONY PAUL PA
Physician Assistant (Medical)
130 JEFFERSON ST
MANSFIELD, LA 71052
De Soto Parish (318) 872-2700
BRANDON SALGADO M.D.
Pediatrics
130 JEFFERSON ST
MANSFIELD, LA 71052
De Soto Parish (318) 872-2700
STACEY LEANNE DILLARD
Social Worker (Clinical)
130 JEFFERSON ST
MANSFIELD, LA 71052
De Soto Parish (318) 872-2700
MS. NAISHIA LASHAY PIPKINS ANP
Nurse Practitioner (Adult Health)
130 JEFFERSON ST
MANSFIELD, LA 71052
De Soto Parish (318) 872-2700
DESOTO HOSPITAL ASSOCIATION
Clinic/Center (Rural Health)
130 JEFFERSON ST
MANSFIELD, LA 71052
De Soto Parish (318) 872-2700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Desoto Regional Family Medicine's NPI number?

The NPI number for Desoto Regional Family Medicine is 1043359839. It was assigned to this organization in the NPPES registry on February 6, 2007. The provider is doing business as Desoto Regional Family Medicine - Mansfield.

Where is Desoto Regional Family Medicine located?

Desoto Regional Family Medicine is located at 130 Jefferson St, Mansfield, LA 71052. The listed phone number is (318) 872-2700.

What is Desoto Regional Family Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Desoto Regional Family Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 19D0463227) is associated with this NPI, valid through October 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Desoto Regional Family Medicine accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Desoto Regional Family Medicine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Desoto Regional Family Medicine was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.