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NPI 1104025857ActiveOrganization· Preferred Provider Organization· Monroe, LA
Preferred Provider Organization in Monroe, Louisiana, registered in NPPES in July 2007. The authorized official on file is Patsy D. Johnson, Accounting Director.
Overview
| NPI | 1104025857 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 13, 2007 |
| Last updated in NPPES | Jul 13, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | PCA10803 | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All Preferred Provider Organization providers in Louisiana →