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

ST. CHARLES MEDICAL CLINIC
NPI 1407947708
Clinic/Center - Primary Care in Luling, LA

Active since September 28, 2006
1057 PAUL MAILLARD RD, SUITE 240, LULING, LA 70070(985) 785-2045 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About St. Charles Medical Clinic NPPES

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

ST. CHARLES MEDICAL CLINIC (NPI 1407947708) is a healthcare organization registered as a primary care in Luling, Louisiana and active in the NPI registry since September 2006. The organization lists Chemmale Jayakrishnan, President/doctor, as its authorized official.

NPPES Registry Identity

NPI1407947708
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameST. CHARLES MEDICAL CLINIC
Location Address1057 PAUL MAILLARD RD, SUITE 240Luling, LA 70070-4349
Mailing AddressPo Box 25Luling, LA 70070-0025 · (985) 785-2045
Phone(985) 785-2045
Organization SubpartNo
Authorized OfficialChemmale JayakrishnanPresident/doctor · (985) 785-2045
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1407947708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1057 PAUL MAILLARD RD, Luling, LA 70070
Open in Google Maps ↗

Other Identifiers 1

Medicaid1792292LA

Other Providers at the Same Location NPPES 20

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

DR. ALYCE RICHARD PHILLIPS M.D.
Anesthesiology
1057 PAUL MAILLARD RD
LULING, LA 70070
St. Charles Parish (985) 785-3740
CARREY WEEKS BRITSCH PT
Physical Therapist
1057 PAUL MAILLARD RD
LULING, LA 70070
St. Charles Parish (985) 785-3684
KATHLYN CAMARGO MACIAS MD
Internal Medicine (Rheumatology)
1057 PAUL MAILLARD RD
LULING, LA 70070
St. Charles Parish (985) 785-3740
ST CHARLES PARISH HOSPITAL
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1057 PAUL MAILLARD RD
LULING, LA 70070
St. Charles Parish (985) 785-6242
AMBER LEWIS FNP
Nurse Practitioner
1057 PAUL MAILLARD RD, STE. D-1900
LULING, LA 70070
St. Charles Parish (985) 308-1604
SUJATA CHAVA M.D.
Internal Medicine
1057 PAUL MAILLARD RD, SUITE 250
LULING, LA 70070
St. Charles Parish (985) 785-5770
TLALOC S ALFEREZ MD
Internal Medicine (Infectious Disease)
1057 PAUL MAILLARD RD, SUITE 1900
LULING, LA 70070
St. Charles Parish (985) 785-3780
SARAH ASHLEIGH FAGAN
Physician Assistant
1057 PAUL MAILLARD RD
LULING, LA 70070
St. Charles Parish (985) 785-2218

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. Charles Medical Clinic's NPI number?

The NPI number for St. Charles Medical Clinic is 1407947708. It was assigned to this organization in the NPPES registry on September 28, 2006.

Where is St. Charles Medical Clinic located?

St. Charles Medical Clinic is located at 1057 Paul Maillard Rd Suite 240, Luling, LA 70070. The listed phone number is (985) 785-2045.

What is St. Charles Medical Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for St. Charles Medical Clinic was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.