Healthcare Provider Details

I. General information

NPI: 1477261824
Provider Name (Legal Business Name): PARADIGM HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2022
Last Update Date: 11/14/2022
Certification Date: 11/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12042 HWY 190 W
MERRYVILLE LA
70653
US

IV. Provider business mailing address

PO BOX 417
MERRYVILLE LA
70653-0417
US

V. Phone/Fax

Practice location:
  • Phone: 225-588-8218
  • Fax:
Mailing address:
  • Phone: 225-588-8218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHRISTIE C HARRINGTON
Title or Position: OWNER
Credential: MSN, APRN, FNPC
Phone: 225-588-8218