Organization
PARADISE CHILDREN'S CLINIC OF LOUISIANA LLC
Active
Other names
Paradise Children's Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY L MASON (OFFICE MANAGER)
(318) 641-6113
Entity
Organization
Contact information
Practice address
4702 MONROE HWY, BALL, LA 71405-3944
(318) 641-6113
(318) 641-6115
Mailing address
4702 MONROE HWY, BALL, LA 71405-3944
(318) 641-6113
(318) 641-6115
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2351192
—
LA
Enumeration date
11/05/2013
Last updated
11/22/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up