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NPI 1831597137ActiveOrganization· Preferred Provider Organization· Terrytown, LA

Preferred Provider Organization in Terrytown, Louisiana, registered in NPPES in December 2014. The authorized official on file is Rudolph Casanova Clarke, Owner.

Overview

NPI1831597137
StatusActive
Entity typeOrganization
NPI issuedDec 18, 2014
Last updated in NPPESDec 18, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Preferred Provider Organization Primary305R00000X305R00000XLA

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