DESOTO REGIONAL FAMILY MEDICINE - MANSFIELD
NPI 1043359839
Clinic/Center - Rural Health in Mansfield, LA
NPI Status: Active since February 06, 2007
Contact Information
130 JEFFERSON ST
MANSFIELD, LA
ZIP 71052
Phone: (318) 872-2700
Fax: (318) 872-6214
- Organization
- Clinic/Center
- Rural Health
- Accepts Insurance
- CLIA Number: 19D0463227
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 10-26-2026
About DESOTO REGIONAL FAMILY MEDICINE - MANSFIELD
This page provides the complete NPI Profile along with additional information for Desoto Regional Family Medicine - Mansfield, a primary care provider established in Mansfield, Louisiana operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1043359839 assigned on February 2007. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Desoto Regional Family Medicine - Mansfield. The authorized official of this NPI record is Hallie Deutsch (Credentialing Specialist)
- NPI
- 1043359839
- Provider Legal Name
- DESOTO REGIONAL FAMILY MEDICINE
- Other Organization Name
- DESOTO REGIONAL FAMILY MEDICINE - MANSFIELD
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 130 JEFFERSON ST MANSFIELD, LA 71052
- Location Phone
- (318) 872-2700
- Location Fax
- (318) 872-6214
- Mailing Address
- 130 JEFFERSON ST MANSFIELD, LA 71052
- Mailing Phone
- (318) 872-2700
- Mailing Fax
- (318) 872-6214
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-06-2007
- Last Update Date
- 03-27-2023
- Code Navigator
A primary care provider (PCP) like Desoto Regional Family Medicine - Mansfield sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rural Health
- Taxonomy Code
- 261QR1300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | (LA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Max 70/50 $6700 - PPO
- Blue Max 90/70 $1500 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3200 - PPO
- Blue Connect 80/60 $3200 (L) - POS
- Blue Connect 80/60 $3200 (N) - POS
- Blue Connect 80/60 $3200 (S) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (L) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (N) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (S) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (L) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (N) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (S) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (L) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (N) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (S) - POS
- Blue POS 60/40 $6500 - POS
- Blue POS 70/50 $4550 - POS
- Blue POS 80/60 $3200 - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 80/60 $1000 - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| CN5547 | OTHER (01) | LA | RR MEDICARE |
| 1948357 | MEDICAID (05) | LA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 19D0463227
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- October 27, 2024
- Certificate Expiration Date
- October 26, 2026
- Laboratory Director
- JILL FERGUSON
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Desoto Regional Family Medicine - Mansfield after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 4 | 3 | 3 | 5 | 9 | 8 | 3 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 8 | 3 | 6 | 5 | 18 | 8 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 8 + 3 + 6 + 5 + 1 + 8 + 8 + 6 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1043359839 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1962706051 | DESOTO HOSPITAL ASSOCIATION Organization | Clinic/Center (Rural Health) | 130 JEFFERSON ST MANSFIELD, LA 71052 (318) 872-2700 |
| 1669659363 | TONY PAUL PA Individual | Physician Assistant (Medical) | 130 JEFFERSON ST MANSFIELD, LA 71052 (318) 872-2700 |
| 1043580624 | DESOTO HOSPITAL ASSOCIATION Organization | Clinic/Center (Rural Health) | 130 JEFFERSON ST MANSFIELD, LA 71052 (318) 872-2700 |
| 1710250204 | STACEY LEANNE DILLARD Individual | Social Worker (Clinical) | 130 JEFFERSON ST MANSFIELD, LA 71052 (318) 872-2700 |
| 1710243340 | BRANDON SALGADO M.D. Individual | Pediatrics | 130 JEFFERSON ST MANSFIELD, LA 71052 (318) 872-2700 |
| 1144994146 | MIKKI MARIE OLSSON LPC Individual | Counselor (Mental Health) | 130 JEFFERSON ST MANSFIELD, LA 71052 (318) 872-2700 |
| 1881943637 | MS. NAISHIA LASHAY PIPKINS ANP Individual | Nurse Practitioner (Adult Health) | 130 JEFFERSON ST MANSFIELD, LA 71052 (318) 872-2700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043359839, enumerated in the NPI registry as an "organization" on February 06, 2007
The provider is located at 130 Jefferson St Mansfield, La 71052 and the phone number is (318) 872-2700
This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health
The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, HMO. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 19D0463227 for a "rural health clinic" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on February 06, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.