NPI 1073267076 · live from the CMS NPI Registry
Allegiance Medical Clinic Of Dequincy LLC
Clinic/Center, Rural Health in Dequincy, LA. National Provider Identifier 1073267076, active.
NPI record
| NPI | 1073267076 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Rural Health 261QR1300X |
| Practice location | 601 W 4th St, Dequincy, LA 70633 |
| Practice phone | 337-786-6161 |
| Enumerated | February 8, 2022 |
| Last updated | September 19, 2024 |
| Authorized official | Renee Willis, Clinic Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | — |
| Internal Medicine | 207R00000X | — |
| Pediatrics | 208000000X | — |
| Podiatrist | 213E00000X | — |
| Clinic/Center, Multi-Specialty | 261QM1300X | — |
| Clinic/Center, Rural Health primary | 261QR1300X | — |
| Nurse Practitioner, Pediatrics | 363LP0200X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.