Provider Demographics
NPI:1104195536
Name:HOPE'S CHILDREN & FAMILY CARE CLINIC, LLC
Entity Type:Organization
Organization Name:HOPE'S CHILDREN & FAMILY CARE CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:HOPE
Authorized Official - Last Name:MONK
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:318-729-3219
Mailing Address - Street 1:434 E CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:MARKSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71351-3000
Mailing Address - Country:US
Mailing Address - Phone:318-253-2999
Mailing Address - Fax:318-253-2298
Practice Address - Street 1:434 E CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:MARKSVILLE
Practice Address - State:LA
Practice Address - Zip Code:71351-3000
Practice Address - Country:US
Practice Address - Phone:318-253-2999
Practice Address - Fax:318-253-2298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-13
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QR1300X
LAAP04166363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural HealthGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty