OrganizationActive
Preventive Measures Programs Inc
NPI 1104222959 · Exclusive Provider Organization · Tallulah, LA
Provider details
- NPI number
- 1104222959
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Carla Holmes, Adminstrator(318) 574-0098
- License
- 1882224 (LA)
Specialties & taxonomies
Managed Care Organizations
Practice location
805 N Beech St
Tallulah, LA 71282-3809
Phone: (318) 574-0098
Fax: (318) 574-0066
Approximate (ZIP-level) locationGet directions
Mailing address
805 N Beech St
Tallulah, LA 71282-3809
Registry dates
- Enumerated
- 2014-11-06
- Last updated
- 2014-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.