COUSHATTA FAMILY MEDICAL CENTER – NPI #1629132543
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

COUSHATTA FAMILY MEDICAL CENTER is a provider located in KINDER, LA. NPPES has assigned the NPI number 1629132543 to COUSHATTA FAMILY MEDICAL CENTER on December 22, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COUSHATTA FAMILY MEDICAL CENTER” is a dba name, the actual legal business name for this organization is PREMISE HEALTH OF LOUISANNA, PROFESSIONAL MEDICAL CORPORATION. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on Aug 15, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COUSHATTA FAMILY MEDICAL CENTER below.

NPI Profile for
PREMISE HEALTH OF LOUISANNA, PROFESSIONAL MEDICAL CORPORATION

NPI Number
1629132543
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PREMISE HEALTH OF LOUISANNA, PROFESSIONAL MEDICAL CORPORATION
Doing Business As (dba): COUSHATTA FAMILY MEDICAL CENTER
Primary location
121 TURKEY LANE
KINDER, LA 70648
Phone: (337) 738-4414 Fax: (337) 738-7444
Mailing address
5500 MARYLAND WAY STE 200
BRENTWOOD, TN 37027-4973
Phone: (216) 479-9063 Fax:
Organization Subpart
No
Authorized Official
JONATHAN LEIZMAN
PRESIDENT
Phone: (216) 479-9063
Updated
Certification Date
Aug 15, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.