1. Home
  2. Directory
  3. Louisiana
  4. Vidalia
  5. Clinic Center
  6. NPI Profile

PEDIATRIC & ADOLESCENT CLINIC
NPI 1407025711
Clinic/Center - Rural Health in Vidalia, LA

Active since February 21, 2008
1806 CARTER STREET, VIDALIA, LA 71373(318) 336-7172(318) 336-7172 Get Directions Write a Review

NPPES record last updated: December 18, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pediatric & Adolescent Clinic NPPES

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

PEDIATRIC & ADOLESCENT CLINIC (NPI 1407025711) is a healthcare organization registered as a rural health in Vidalia, Louisiana and active in the NPI registry since February 2008. The organization lists Stephanie P Rife, Business Mgr, as its authorized official.

NPPES Registry Identity

NPI1407025711
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameDAVID ALAN TIMM
Location Address1806 CARTER STREETVidalia, LA 71373-3115
Mailing Address308 Highland BlvdNatchez, MS 39120-4611 · (601) 442-7676 · Fax (601) 442-9590
Phone(318) 336-7172
Fax(318) 336-7172
Organization SubpartNo
Authorized OfficialStephanie P RifeBusiness Mgr · (601) 442-7676
Enumeration DateFebruary 21, 2008
Last NPPES UpdateDecember 18, 2009
✔ NPI 1407025711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1806 CARTER STREET, Vidalia, LA 71373
Open in Google Maps ↗

Other Names 1

Doing Business AsPediatric & Adolescent Clinic

Other Identifiers 2

Medicaid1021849LA
Medicare PIN19-3883LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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 David Alan Timm's NPI number?

The NPI number for David Alan Timm is 1407025711. It was assigned to this organization in the NPPES registry on February 21, 2008. The provider is doing business as Pediatric & Adolescent Clinic.

Where is David Alan Timm located?

David Alan Timm is located at 1806 Carter Street, Vidalia, LA 71373. The listed phone number is (318) 336-7172.

What is David Alan Timm's specialty?

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

What insurance does David Alan Timm accept?

Health plans from Molina Healthcare list David Alan Timm 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 David Alan Timm was last updated on December 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.