1. Home
  2. Directory
  3. Louisiana
  4. Independence
  5. General Practice
  6. NPI Profile

INDEPENDENCE MEDICAL CLINIC, LLC
NPI 1669897609
General Practice in Independence, LA

Active since February 27, 2014
281 W 4TH ST, INDEPENDENCE, LA 70443(504) 338-4268 Get Directions Write a Review

NPPES record last updated: July 10, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Independence Medical Clinic, Llc NPPES

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

INDEPENDENCE MEDICAL CLINIC, LLC (NPI 1669897609) is a healthcare organization registered as a general practice in Independence, Louisiana and active in the NPI registry since February 2014. The organization lists Edmond Wood, Owner, as its authorized official.

NPPES Registry Identity

NPI1669897609
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameINDEPENDENCE MEDICAL CLINIC, LLC
Location Address281 W 4TH STIndependence, LA 70443-2386
Mailing Address7300 Lakeshore Dr Apt 10New Orleans, LA 70124-2462 · (504) 338-4268
Phone(504) 338-4268
Organization SubpartNo
Authorized OfficialEdmond WoodOwner · (504) 338-4268
Enumeration DateFebruary 27, 2014
Last NPPES UpdateJuly 10, 2014
✔ NPI 1669897609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
281 W 4TH ST, Independence, LA 70443
Open in Google Maps ↗

Other Identifiers 1

Medicaid1910864LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

MIRANDA C JOHNSTON P.A.
Physician Assistant
281 W 4TH ST
INDEPENDENCE, LA 70443
Tangipahoa Parish (985) 878-0066
MULTIPRACTICE CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
281 W 4TH ST
INDEPENDENCE, LA 70443
Tangipahoa Parish (985) 878-0066
AVE' MARIA SEARS LCSW
Social Worker (Clinical)
281 W 4TH ST
INDEPENDENCE, LA 70443
Tangipahoa Parish (985) 878-0066
MRS. JACQUELINE REYNOLDS OVERTON LPC
Counselor (Professional)
281 W 4TH ST
INDEPENDENCE, LA 70443
Tangipahoa Parish (985) 878-0066
MRS. AMANDA M OLINDE CNM
Advanced Practice Midwife
281 W 4TH ST
INDEPENDENCE, LA 70443
Tangipahoa Parish (225) 772-1148
DR. DUSTIN CHRISTOPHER WHITE DDS
Dentist (General Practice)
281 W 4TH ST
INDEPENDENCE, LA 70443
Tangipahoa Parish (985) 878-0066
ALEX DARRELL SHARPLESS DDS
Dentist (General Practice)
281 W 4TH ST
INDEPENDENCE, LA 70443
Tangipahoa Parish (919) 221-3872

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 Independence Medical Clinic, LLC's NPI number?

The NPI number for Independence Medical Clinic, LLC is 1669897609. It was assigned to this organization in the NPPES registry on February 27, 2014.

Where is Independence Medical Clinic, LLC located?

Independence Medical Clinic, LLC is located at 281 W 4th St, Independence, LA 70443. The listed phone number is (504) 338-4268.

What is Independence Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Independence Medical Clinic, LLC was last updated on July 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.