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DELCAMBRE FAMILY CLINIC
NPI 1073109930
Clinic/Center - Rural Health in Delcambre, LA

Active since December 15, 2020CLIA 19D2210602 · Waiver
506 W HIGHWAY 14, DELCAMBRE, LA 70528(337) 685-2020 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Delcambre Family Clinic NPPES

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

DELCAMBRE FAMILY CLINIC (NPI 1073109930) is a healthcare organization registered as a rural health in Delcambre, Louisiana and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through January 21, 2027 and lists John Dies, President, as its authorized official.

NPPES Registry Identity

NPI1073109930
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSOUTHSIDE FAMILY CLINIC LLC
Location Address506 W HIGHWAY 14Delcambre, LA 70528-2308
Mailing Address506 W Highway 14Delcambre, LA 70528-2308
Phone(337) 685-2020
Organization SubpartNo
Authorized OfficialJohn DiesPresident · (337) 580-4061
Enumeration DateDecember 15, 2020
Last NPPES UpdateMarch 14, 2022
NPPES CertifiedMarch 14, 2022
✔ NPI 1073109930 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 ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
506 W HIGHWAY 14, Delcambre, LA 70528
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Other Names 1

Doing Business AsDelcambre Family Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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 Waiver 19D2210602

Delcambre Family Clinic · Delcambre, LA
Active · expires Jan 21, 2027
CLIA Number19D2210602
Laboratory TypeRural Health Clinic
Certificate Effective DateJanuary 22, 2025
Certificate Expiration DateJanuary 21, 2027
Laboratory DirectorJohn P. Dies
Laboratory Phone(337) 385-1972
Laboratory LocationDelcambre Family Clinic506 Hwy 14 West, Delcambre, LA 70528
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

SUMMER LYNN SMITH APRN
Nurse Practitioner (Family)
506 W HIGHWAY 14
DELCAMBRE, LA 70528
Vermilion Parish (337) 385-1972

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 Southside Family Clinic LLC's NPI number?

The NPI number for Southside Family Clinic LLC is 1073109930. It was assigned to this organization in the NPPES registry on December 15, 2020. The provider is doing business as Delcambre Family Clinic.

Where is Southside Family Clinic LLC located?

Southside Family Clinic LLC is located at 506 W Highway 14, Delcambre, LA 70528. The listed phone number is (337) 685-2020.

What is Southside Family Clinic LLC's specialty?

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

Does Southside Family Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2210602) is associated with this NPI, valid through January 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southside Family Clinic LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Southside Family Clinic LLC 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 Southside Family Clinic LLC was last updated on March 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.