Organization Name: | EXTREMITY CMA, LLC |
NPI Number: | 1659614865 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHENILE TEZENO (OWNER) |
Mailing Address: | 2878 Tate Cove Rd Ville Platte |
State: | LA US |
Postal Code: | 705866311 |
Phone Number: | 3373631237 |
Fax Number: | 3373631384 |
NPI Enumeration Date: | 04/05/2013 |
NPI Last Update Date: | 04/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | CM 27068 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |