DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: VILLAGE FAMILY MEDICINE, LLC

MEDICARE: VILLAGE FAMILY MEDICINE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1841537966
Entity Type Code : Organization
Provider Name (Legal Business Name) : VILLAGE FAMILY MEDICINE, LLC
Provider Business Mailing Address
First Line : 12133 INDUSTRIPLEX BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-5129
Country : US
Telephone Number : 225-293-2276
Fax Number : 225-293-2278
Provider Business Practice Location Address
First Line : 31330 HIGHWAY 22
Second Line : SUITE 101
City : SPRINGFIELD
State : LA
Zip : 70462-7427
Country : US
Telephone Number : 225-293-2276
Fax Number : 225-293-2278
Authorized Official
Title or Position : MEMBER
Name : MRS. LAURIE MCDONALD
Credential :
Telephone Number : 225-293-2276
Provider Enumeration Date : 01/09/2013
Last Update Date : 01/09/2013

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:
2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908
Practice Phone: 701-922-1000
Practice Fax: 703-922-1039
1346323235 — DEBRALEE ANN POPULIS APRN-BC, MSN, FNP
Practice Location Address:
31330 HIGHWAY 22 STE 101
SPRINGFIELD, LA
70462-7427
Practice Phone: 225-414-0690
Practice Fax: 225-414-0693
1750808267 — PREMIER CHOICE COUNSELING SERVICE, LLC
Practice Location Address:
31330 HIGHWAY 22 STE 101
SPRINGFIELD, LA
70462-7427
Practice Phone: 318-773-3430
Practice Fax:
1134610603 — CARRLISSA NEAL
Practice Location Address:
31330 HIGHWAY 22 STE 101
SPRINGFIELD, LA
70462-7427
Practice Phone: 225-294-7227
Practice Fax:
1538637467 — TANESHA BENNETT
Practice Location Address:
31330 HIGHWAY 22 STE 101
SPRINGFIELD, LA
70462-7427
Practice Phone: 225-294-7227
Practice Fax:
1205304136 — DEWAYNE DAVIS
Practice Location Address:
31330 HIGHWAY 22 STE 101
SPRINGFIELD, LA
70462-7427
Practice Phone: 225-294-7227
Practice Fax: 225-294-7667

Directions to “VILLAGE FAMILY MEDICINE, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.