OrganizationActive
University of Louisiana Monroe
NPI 1538375753 · Health Maintenance Organization · Monroe, LA
Provider details
- NPI number
- 1538375753
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- John Wooten, Program Director(318) 361-3003
- License
- 120530 (LA)
Specialties & taxonomies
Managed Care Organizations
Practice location
4604 Lincoln Park Ave
Monroe, LA 71202-5919
Phone: (318) 324-9450
Fax: (318) 324-9450
Approximate (ZIP-level) locationGet directions
Mailing address
4606 Linclon Prk Ave
Monroe, LA 71201-5919
Other names (DBA / former)
- Doing business as
- Ulm
Registry dates
- Enumerated
- 2007-05-15
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.