VILLE PLATTE PEDIATRICS CORP
NPI 1114020542
Clinic/Center - Rural Health in Ville Platte, LA

Active since September 07, 2006CLIA 19D0909704 · Waiver
504 JACK MILLER ROAD, SUITE 3, VILLE PLATTE, LA 70586(337) 363-3560(337) 363-3507 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, Apr 27, 2022, Mar 9, 2022 and 1 more (4 updates tracked since 2016).

About Ville Platte Pediatrics Corp NPPES

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

VILLE PLATTE PEDIATRICS CORP (NPI 1114020542) is a healthcare organization registered as a rural health in Ville Platte, Louisiana and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through December 13, 2027 and lists Dodanim Francisco Altamirano, Md, as its authorized official.

NPPES Registry Identity

NPI1114020542
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameVILLE PLATTE PEDIATRICS PA
Location Address504 JACK MILLER ROAD, SUITE 3Ville Platte, LA 70586
Mailing Address504 Jack Miller Road, Suite 3Ville Platte, LA 70586 · (337) 363-3560 · Fax (337) 363-3507
Fax(337) 363-3507
Organization SubpartNo
Authorized OfficialDodanim Francisco AltamiranoMd · (337) 363-3560
Enumeration DateSeptember 7, 2006
Last NPPES UpdateMarch 7, 20234 updates tracked since enumeration
NPPES CertifiedApril 27, 2022
NPI 1114020542 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
License Licensed in LA · 193914
Also ListedPediatricsTaxonomy 208000000X · License 11525R (LA)
504 JACK MILLER ROAD, Ville Platte, LA 70586

Other Names 1

Other NameVille Platte Pediatrics Corp

Other Identifiers 2

Other241402006LA · Controlled Dang Sub
Medicaid1671177LA

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

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 19D0909704

Ville Platte Pediatrics PA · Ville Platte, LA
Active · expires Dec 13, 2027
CLIA Number19D0909704
Laboratory TypeRural Health Clinic
Certificate Effective DateDecember 14, 2025
Certificate Expiration DateDecember 13, 2027
Laboratory DirectorCourtney D. Manual
Laboratory Phone(337) 363-3560
Laboratory LocationVille Platte Pediatrics PA504 Jack Miller Road, Suite 3, Ville Platte, LA 70586
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Internal Medicine (Cardiovascular Disease)
504 JACK MILLER ROAD, SUITE 7
VILLE PLATTE, LA 70586
Orthopaedic Surgery
504 JACK MILLER ROAD
VILLEPLATTE, LA 70586

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 Ville Platte Pediatrics PA's NPI number?

The NPI number for Ville Platte Pediatrics PA is 1114020542. It was assigned to this organization in the NPPES registry on September 7, 2006. The provider is also known as Ville Platte Pediatrics Corp.

Where is Ville Platte Pediatrics PA located?

Ville Platte Pediatrics PA is located at 504 Jack Miller Road Suite 3, Ville Platte, LA 70586. The listed phone number is (337) 363-3560.

What is Ville Platte Pediatrics PA's specialty?

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

Does Ville Platte Pediatrics PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D0909704) is associated with this NPI, valid through December 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ville Platte Pediatrics PA accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Ville Platte Pediatrics PA 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 Ville Platte Pediatrics PA was last updated on March 7, 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.