DRY PRONG FAMILY CLINIC
NPI 1366928277
Clinic/Center - Rural Health in Dry Prong, LA

Active since July 13, 2018CLIA 19D2164593 · Waiver
800 GROVE STREET, DRY PRONG, LA 71423(318) 568-8298(318) 568-8297 Get Directions Write a Review

NPPES record last updated: June 2, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 2, 2020, May 6, 2019, Jul 13, 2018 (3 updates tracked since 2018).

About Dry Prong Family Clinic NPPES

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

DRY PRONG FAMILY CLINIC (NPI 1366928277) is a healthcare organization registered as a rural health in Dry Prong, Louisiana and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through April 8, 2027 and lists Benjamin Colvin, Owner, as its authorized official.

NPPES Registry Identity

NPI1366928277
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameDRY PRONG FAMILY CLINIC, LLC
Location Address800 GROVE STREETDry Prong, LA 71423
Mailing AddressPo Box 37Montgomery, LA 71454-0037
Fax(318) 568-8297
Organization SubpartNo
Authorized OfficialBenjamin ColvinOwner · (318) 568-8298
Enumeration DateJuly 13, 2018
Last NPPES UpdateJune 2, 20203 updates tracked since enumeration
NPPES CertifiedJune 2, 2020
NPI 1366928277 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
800 GROVE STREET, Dry Prong, LA 71423

Other Names 1

Doing Business AsDry Prong Family Clinic

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 19D2164593

Dry Prong Family Clinic · Dry Prong, LA
Active · expires Apr 8, 2027
CLIA Number19D2164593
Laboratory TypeRural Health Clinic
Certificate Effective DateApril 9, 2025
Certificate Expiration DateApril 8, 2027
Laboratory DirectorBenjamin J. Colvin
Laboratory Phone(318) 646-3000
Laboratory LocationDry Prong Family Clinic800 Grove Street, Dry Prong, LA 71423
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Dry Prong Family Clinic, LLC's NPI number?

The NPI number for Dry Prong Family Clinic, LLC is 1366928277. It was assigned to this organization in the NPPES registry on July 13, 2018. The provider is doing business as Dry Prong Family Clinic.

Where is Dry Prong Family Clinic, LLC located?

Dry Prong Family Clinic, LLC is located at 800 Grove Street, Dry Prong, LA 71423. The listed phone number is (318) 568-8298.

What is Dry Prong Family Clinic, LLC's specialty?

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

Does Dry Prong Family Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2164593) is associated with this NPI, valid through April 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dry Prong Family Clinic, LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Dry Prong 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 Dry Prong Family Clinic, LLC was last updated on June 2, 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.