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Independence Medical Clinic, LLC

NPI 1669897609ActiveOrganization· General Practice· Independence, LA

General Practice in Independence, Louisiana, registered in NPPES in February 2014. The authorized official on file is Edmond Wood, MD, Owner.

Overview

NPI1669897609
StatusActive
Entity typeOrganization
NPI issuedFeb 27, 2014
Last updated in NPPESJul 10, 2014

Specialties and licenses

TaxonomyCodeLicenseState
General Practice Primary208D00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years