Provider Demographics
NPI:1699666362
Name:FIRMIN FAMILY HEALTH CLINICS LLC
Entity type:Organization
Organization Name:FIRMIN FAMILY HEALTH CLINICS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:G
Authorized Official - Last Name:FIRMIN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:318-943-0104
Mailing Address - Street 1:PO BOX 650
Mailing Address - Street 2:
Mailing Address - City:SIMMESPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71369-0650
Mailing Address - Country:US
Mailing Address - Phone:318-943-0104
Mailing Address - Fax:318-943-0109
Practice Address - Street 1:16104 HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:SIMMESPORT
Practice Address - State:LA
Practice Address - Zip Code:71369
Practice Address - Country:US
Practice Address - Phone:318-943-0104
Practice Address - Fax:318-943-0109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-11
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health