Provider Demographics
NPI:1164166534
Name:HEALTH FOR OUR KIDS
Entity Type:Organization
Organization Name:HEALTH FOR OUR KIDS
Other - Org Name:HEALTH FOR OUR KIDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:AUGUSTINE
Authorized Official - Suffix:
Authorized Official - Credentials:FOUNDER
Authorized Official - Phone:318-308-0970
Mailing Address - Street 1:645 RICHELIEU PWKY
Mailing Address - Street 2:
Mailing Address - City:MARKSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71351-7135
Mailing Address - Country:US
Mailing Address - Phone:318-308-0970
Mailing Address - Fax:
Practice Address - Street 1:645 RICHELIEU PWKY
Practice Address - Street 2:
Practice Address - City:MARKSVILLE
Practice Address - State:LA
Practice Address - Zip Code:71351-7135
Practice Address - Country:US
Practice Address - Phone:318-308-0970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-22
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health