✓ Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center (261QF0400X) ✓ HHS OIG Screened Clear 🏢 Entity Type 2 (Organization)

COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION (NPI #1285942284)

Clinic/Center, Federally Qualified Health Center (FQHC) • MANSFIELD, LA • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1285942284
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
261QF0400X (CMS B4[14])
Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
Box 32 Service Location & ZIP+4
907 POLK ST, MANSFIELD, LA, 71052-2520
✓ 9-Digit EDI 837 ZIP+4 (71052-2520)
Practice Phone & Referral Fax
Fax: (318) 872-1055
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1285942284 (COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1285942284 (NPI-2 Organization / Facility)
Provider / Legal NameCOUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION
Plain-English SpecialtyLicensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
NUCC Code: 261QF0400X (Clinic/Center, Federally Qualified Health Center (FQHC))
Certifying / Licensing BodyAccreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address907 POLK ST, MANSFIELD, LA, 71052-2520
Practice Telephone / FaxTel: (318) 872-1015 | Fax: (318) 872-1055
Administrative Mailing Address2120 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA, 71118-3351
Enumeration & Last SyncEnumerated: 2010-09-24 | CMS Record Updated: 2020-07-24
Authorized OfficialMARY CHUMLEY (President / Executive Director)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

907 POLK ST, MANSFIELD, LA, 71052-2520

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Plain-English Taxonomy & CMS Crosswalk (261QF0400X)

What Does Taxonomy Code 261QF0400X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QF0400X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: CMS Code B4[14] (Federally Qualified Health Center)
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION)

Typical CPT / Diagnostic Procedures:
  • Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
  • Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures
Common Therapeutic Classes:
  • Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
261QF0400X — Clinic/Center, Federally Qualified Health Center (FQHC)
Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
State: LA | License: 104 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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