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FAMILY MEDICAL CLINIC-BEHAVIORAL HEALTH
NPI 1508603168
Clinic/Center - Federally Qualified Health Center (FQHC) in Lake Providence, LA

Active since July 11, 2024CLIA Certified · 3 labs
300 SCARBOROUGH ST, LAKE PROVIDENCE, LA 71254(318) 231-5010(318) 231-5011 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Family Medical Clinic-behavioral Health NPPES

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

FAMILY MEDICAL CLINIC-BEHAVIORAL HEALTH (NPI 1508603168) is a healthcare organization registered as a federally qualified health center (fqhc) in Lake Providence, Louisiana and active in the NPI registry since July 2024. The organization holds 3 active CLIA laboratory certificates and lists Ladonna Englerth, Administrator, as its authorized official.

NPPES Registry Identity

NPI1508603168
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEAST CARROLL PARISH HOSPITAL
Location Address300 SCARBOROUGH STLake Providence, LA 71254-3018
Mailing Address300 Scarborough StLake Providence, LA 71254-3018 · (318) 559-4024 · Fax (318) 231-5011
Phone(318) 231-5010
Fax(318) 231-5011
Organization SubpartYes
Authorized OfficialLadonna EnglerthAdministrator · (318) 559-4023
Enumeration DateJuly 11, 2024
Last NPPES UpdateOctober 17, 2024
NPPES CertifiedOctober 17, 2024
✔ NPI 1508603168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
300 SCARBOROUGH ST, Lake Providence, LA 71254
Open in Google Maps ↗

Other Names 1

Doing Business AsFamily Medical Clinic-behavioral Health

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 3

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 Compliance 19D0673263

East Carroll Parish Hospital · Lake Providence, LA
Active · expires May 4, 2027
CLIA Number19D0673263
Laboratory TypeHospital
Certificate Effective DateMay 5, 2025
Certificate Expiration DateMay 4, 2027
Laboratory DirectorBrian Wilkinson
Laboratory Phone(318) 559-4023
Laboratory LocationEast Carroll Parish Hospital336 North Hood Street, Lake Providence, LA 71254
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 19D0464368

Family Medical Clinic · Lake Providence, LA
Active · expires Jun 12, 2028
CLIA Number19D0464368
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 13, 2026
Certificate Expiration DateJune 12, 2028
Laboratory DirectorDon W. Bailey MD
Laboratory Phone(318) 559-2814
Laboratory LocationFamily Medical Clinic326 N Hood St, Lake Providence, LA 71254
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 19D0880963

East Carroll Parish Hosp Nursing Dept · Lake Providence, LA
Active · expires Jan 2, 2028
CLIA Number19D0880963
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2026
Certificate Expiration DateJanuary 2, 2028
Laboratory DirectorLaketha Lane
Laboratory Phone(318) 559-4023
Laboratory LocationEast Carroll Parish Hosp Nursing Dept336 N Hood Street, Lake Providence, LA 71254
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DR. KAY B KOVAC
Family Medicine
300 SCARBOROUGH ST
LAKE PROVIDENCE, LA 71254
East Carroll Parish (318) 559-2814
KELLY CATHERINE RATLIFF FNP-C
Nurse Practitioner (Family)
300 SCARBOROUGH ST
LAKE PROVIDENCE, LA 71254
East Carroll Parish (318) 559-2814
AMY GARRETT HALE RN,FNP
Nurse Practitioner (Family)
300 SCARBOROUGH ST
LAKE PROVIDENCE, LA 71254
East Carroll Parish (318) 559-2814
DR. DONOVAN WILBUR BAILEY M.D.
Family Medicine
300 SCARBOROUGH ST
LAKE PROVIDENCE, LA 71254
East Carroll Parish (318) 559-2814
MRS. ERICA POWELL WATSON PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
300 SCARBOROUGH ST
LAKE PROVIDENCE, LA 71254
East Carroll Parish (318) 231-5010

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 East Carroll Parish Hospital's NPI number?

The NPI number for East Carroll Parish Hospital is 1508603168. It was assigned to this organization in the NPPES registry on July 11, 2024. The provider is doing business as Family Medical Clinic-Behavioral Health.

Where is East Carroll Parish Hospital located?

East Carroll Parish Hospital is located at 300 Scarborough St, Lake Providence, LA 71254. The listed phone number is (318) 231-5010.

What is East Carroll Parish Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does East Carroll Parish Hospital hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does East Carroll Parish Hospital 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 East Carroll Parish Hospital 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 East Carroll Parish Hospital was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.