OrganizationActive
Allegiance Medical Clinic of Dequincy LLC
NPI 1073267076 · Rural Health Clinic/Center · Dequincy, LA
Provider details
- NPI number
- 1073267076
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Renee Willis, Clinic Manager(337) 786-1271
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Pediatric Nurse Practitioner363LP0200X
Physician Assistants & Advanced Practice Nursing Providers
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Podiatrist213E00000X
Podiatric Medicine & Surgery Service Providers
- Multi-Specialty Clinic/Center261QM1300X
Practice location
601 W 4th St
Dequincy, LA 70633-3301
Phone: (337) 786-6161
Fax: (337) 786-7999
Approximate (ZIP-level) locationGet directions
Mailing address
601 W 4th St
Dequincy, LA 70633-3301
Registry dates
- Enumerated
- 2022-02-08
- Last updated
- 2024-09-19
- Certified
- 2024-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.