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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: August 30, 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
Phone(318) 259-1569
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
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Other Identifiers 3

Medicaid2344188LA
Medicare NSC7323630001LA
Medicare PIN5DX99LA

Other Providers at the Same Location NPPES 6

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

MR. DIRK TIMOTHY RAINWATER MD
General Practice
103 WATTS ST
JONESBORO, LA 71251
Jackson Parish (318) 259-1569
LOUISIANA FAMILY MEDICINE CLINIC, INC.
Non-Pharmacy Dispensing Site
103 WATTS ST
JONESBORO, LA 71251
Jackson Parish (318) 259-1569
MANDY KATHERYN MCNAMARA P.A.-C
Physician Assistant (Medical)
103 WATTS ST
JONESBORO, LA 71251
Jackson Parish (318) 259-1569
ADAM LAWSON P.A.
Physician Assistant (Medical)
103 WATTS ST
JONESBORO, LA 71251
Jackson Parish (318) 259-1569
QUALITY CARE CENTER
Nurse Practitioner (Family)
103 WATTS ST
JONESBORO, LA 71251
Jackson Parish (318) 259-1511
ALISON CREEL FNP
Nurse Practitioner (Family)
103 WATTS ST
JONESBORO, LA 71251
Jackson Parish (318) 259-1569

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 Louisiana Family Medicine Clinic 1's NPI number?

The NPI number for Louisiana Family Medicine Clinic 1 is 1548538200. It was assigned to this organization in the NPPES registry on December 9, 2011.

Where is Louisiana Family Medicine Clinic 1 located?

Louisiana Family Medicine Clinic 1 is located at 103 Watts St, Jonesboro, LA 71251. The listed phone number is (318) 259-1569.

What is Louisiana Family Medicine Clinic 1's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Louisiana Family Medicine Clinic 1 was last updated on June 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.