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ST JOSEPH MEDICAL CLINIC A MEDICAL CORPORATION
NPI 1255348843
Clinic/Center - Rural Health in Vacherie, LA

Active since August 03, 2006CLIA 19D0457989 · Waiver
22080 LA HWY 20, VACHERIE, LA 70090(225) 265-3061(225) 265-3062 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About St Joseph Medical Clinic A Medical Corporation NPPES

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

ST JOSEPH MEDICAL CLINIC A MEDICAL CORPORATION (NPI 1255348843), doing business as M Dirk Ory Md A Medical Corporation, is a healthcare organization registered as a rural health in Vacherie, Louisiana and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through April 24, 2027 and lists Raja S Talluri, President, as its authorized official.

NPPES Registry Identity

NPI1255348843
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameST JOSEPH MEDICAL CLINIC A MEDICAL CORPORATION
Location Address22080 LA HWY 20Vacherie, LA 70090-0069
Mailing AddressPo Box 69Vacherie, LA 70090-0069 · (225) 265-3061 · Fax (225) 265-3062
Phone(225) 265-3061
Fax(225) 265-3062
Organization SubpartNo
Authorized OfficialRaja S TalluriPresident · (225) 265-3061
Enumeration DateAugust 3, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1255348843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in LA · 098
22080 LA HWY 20, Vacherie, LA 70090
Open in Google Maps ↗

Other Names 1

Former Legal Business NameM Dirk Ory Md A Medical Corporation

Other Identifiers 1

Medicaid1449792LA

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 19D0457989

St Joseph Medical Clinic Amc · Vacherie, LA
Active · expires Apr 24, 2027
CLIA Number19D0457989
Laboratory TypeRural Health Clinic
Certificate Effective DateApril 25, 2025
Certificate Expiration DateApril 24, 2027
Laboratory DirectorRaja S. Talluri
Laboratory Phone(225) 265-3061
Laboratory LocationSt Joseph Medical Clinic Amc22080 La Hwy 20 West, Vacherie, LA 70090
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

RAJA S TALLURI M.D.
Internal Medicine
22080 LA HWY 20
VACHERIE, LA 70090
St. James Parish (225) 265-3061
THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
Internal Medicine (Cardiovascular Disease)
22080 LA HWY 20
VACHERIE, LA 70090
St. James Parish (985) 493-4993
DR. MICHAEL DIRK ORY M.D.
Family Medicine
22080 LA HWY 20
VACHERIE, LA 70090
St. James Parish (225) 265-3061

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 St Joseph Medical Clinic A Medical Corporation's NPI number?

The NPI number for St Joseph Medical Clinic A Medical Corporation is 1255348843. It was assigned to this organization in the NPPES registry on August 3, 2006. The provider was formerly known as M Dirk Ory MD A Medical Corporation.

Where is St Joseph Medical Clinic A Medical Corporation located?

St Joseph Medical Clinic A Medical Corporation is located at 22080 La Hwy 20, Vacherie, LA 70090. The listed phone number is (225) 265-3061.

What is St Joseph Medical Clinic A Medical Corporation's specialty?

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

Does St Joseph Medical Clinic A Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D0457989) is associated with this NPI, valid through April 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does St Joseph Medical Clinic A Medical Corporation 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 2 other insurers list St Joseph Medical Clinic A Medical Corporation 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 St Joseph Medical Clinic A Medical Corporation was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.