LOUISIANA FAMILY MEDICINE CLINIC 1
NPI 1548538200
Clinic/Center in Jonesboro, LA

Active since December 09, 2011
103 WATTS ST, JONESBORO, LA 71251(318) 259-1569(318) 259-8523 Get Directions Write a Review

NPPES record last updated: June 18, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Louisiana Family Medicine Clinic 1 NPPES

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

LOUISIANA FAMILY MEDICINE CLINIC 1 (NPI 1548538200) is a healthcare organization registered as a clinic/center in Jonesboro, Louisiana and active in the NPI registry since December 2011. The organization lists Dirk Timothy Rainwater, Ceo, as its authorized official.

NPPES Registry Identity

NPI1548538200
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLOUISIANA FAMILY MEDICINE CLINIC 1
Location Address103 WATTS STJonesboro, LA 71251-2053
Mailing Address103 Watts StJonesboro, LA 71251-2053 · (318) 259-1569 · Fax (318) 259-8523
Fax(318) 259-8523
Organization SubpartNo
Authorized OfficialDirk Timothy RainwaterCeo · (318) 560-3486
Enumeration DateDecember 9, 2011
Last NPPES UpdateJune 18, 2015
NPI 1548538200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in LA · 025000
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X · License 025000 (LA)
103 WATTS ST, Jonesboro, LA 71251

Other Identifiers 3

Medicaid2344188LA
Medicare NSC7323630001LA
Medicare PIN5DX99LA

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
103 WATTS ST
JONESBORO, LA 71251
Non-Pharmacy Dispensing Site
103 WATTS ST
JONESBORO, LA 71251
Physician Assistant (Medical)
103 WATTS ST
JONESBORO, LA 71251
Physician Assistant (Medical)
103 WATTS ST
JONESBORO, LA 71251
Nurse Practitioner (Family)
103 WATTS ST
JONESBORO, LA 71251
Nurse Practitioner (Family)
103 WATTS ST
JONESBORO, LA 71251
General Practice
103 WATTS ST
JONESBORO, LA 71251

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548538200, enumerated as an "organization" on December 09, 2011.

The provider is located at 103 WATTS ST JONESBORO, LA 71251 and the phone number is (318) 259-1569.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.