OrganizationActive
Church Point Medical Clinic LLC
NPI 1114144888 · Medical Specialty Clinic/Center · Church Point, LA
Provider details
- NPI number
- 1114144888
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marcelo Polanco, Owner(337) 684-0911
- License
- LA023828 (LA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
731 S Main St
Suite a
Church Point, LA 70525-4109
Phone: (337) 684-0911
Fax: (337) 684-0912
Street-level locationGet directions
Mailing address
731 S Main St
Church Point, LA 70525-4109
Registry dates
- Enumerated
- 2007-04-20
- Last updated
- 2011-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.