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ASSOCIATE FAMILY MEDICAL CENTER OF BOGALUSA
NPI 1801840210
Clinic/Center - Rural Health in Marrero, LA

Active since May 20, 2006
4700 WICHERS DR STE 206, MARRERO, LA 70072(985) 768-1995(504) 340-4636 Get Directions Write a Review

NPPES record last updated: December 29, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Associate Family Medical Center Of Bogalusa NPPES

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

ASSOCIATE FAMILY MEDICAL CENTER OF BOGALUSA (NPI 1801840210) is a healthcare organization registered as a rural health in Marrero, Louisiana and active in the NPI registry since May 2006. The organization lists Tina Marie Benandi, President, as its authorized official.

NPPES Registry Identity

NPI1801840210
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameRURAL HEALTH CARE DEVELOPMENT CORPORATION LLC
Location Address4700 WICHERS DR STE 206Marrero, LA 70072-3054
Mailing Address4700 Wichers Dr Ste 206Marrero, LA 70072-3054 · (985) 768-1995 · Fax (504) 340-4636
Phone(985) 768-1995
Fax(504) 340-4636
Organization SubpartNo
Authorized OfficialTina Marie BenandiPresident · (985) 768-1995
Enumeration DateMay 20, 2006
Last NPPES UpdateDecember 29, 2011
✔ NPI 1801840210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
4700 WICHERS DR STE 206, Marrero, LA 70072
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Other Names 1

Doing Business AsAssociate Family Medical Center Of Bogalusa

Other Identifiers 1

Medicare UPIN5CU05LA

Other Providers at the Same Location NPPES 8

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

JANIEKA S MILLS
Case Manager/Care Coordinator
4700 WICHERS DR STE 206
MARRERO, LA 70072
Jefferson Parish (504) 645-5506
TERRINESHA WILLIAMS
Clinic/Center (Mental Health (Including Community Mental Health Center))
4700 WICHERS DR STE 206
MARRERO, LA 70072
Jefferson Parish (504) 235-7847
BRITTANY NICOLE POLK
Case Manager/Care Coordinator
4700 WICHERS DR STE 206
MARRERO, LA 70072
Jefferson Parish (504) 645-5506
STACY ANDERSON B.S., M.S.
Case Manager/Care Coordinator
4700 WICHERS DR STE 206
MARRERO, LA 70072
Jefferson Parish (504) 304-4097
LARONDA BREANN SEVERANCE
Case Manager/Care Coordinator
4700 WICHERS DR STE 206
MARRERO, LA 70072
Jefferson Parish (504) 645-5506
BRANDON ROMBACK
Case Manager/Care Coordinator
4700 WICHERS DR STE 206
MARRERO, LA 70072
Jefferson Parish (504) 645-5506
MISS IRAJUAN L COOLEY
Clinic/Center (Mental Health (Including Community Mental Health Center))
4700 WICHERS DR STE 206
MARRERO, LA 70072
Jefferson Parish (504) 710-9690
LESTER HAMLIN JR.
Counselor (Mental Health)
4700 WICHERS DR STE 206
MARRERO, LA 70072
Jefferson Parish (504) 645-5506

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 Rural Health Care Development Corporation LLC's NPI number?

The NPI number for Rural Health Care Development Corporation LLC is 1801840210. It was assigned to this organization in the NPPES registry on May 20, 2006. The provider is doing business as Associate Family Medical Center Of Bogalusa.

Where is Rural Health Care Development Corporation LLC located?

Rural Health Care Development Corporation LLC is located at 4700 Wichers Dr Ste 206, Marrero, LA 70072. The listed phone number is (985) 768-1995.

What is Rural Health Care Development Corporation LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Rural Health Care Development Corporation LLC was last updated on December 29, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.