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)
✓ 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1285942284 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION |
| Plain-English Specialty | Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: 261QF0400X (Clinic/Center, Federally Qualified Health Center (FQHC)) |
| Certifying / Licensing Body | Accreditation Association for Ambulatory Health Care (AAAHC) / CMS |
| Practice Location Address | 907 POLK ST, MANSFIELD, LA, 71052-2520 |
| Practice Telephone / Fax | Tel: (318) 872-1015 | Fax: (318) 872-1055 |
| Administrative Mailing Address | 2120 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA, 71118-3351 |
| Enumeration & Last Sync | Enumerated: 2010-09-24 | CMS Record Updated: 2020-07-24 |
| Authorized Official | MARY CHUMLEY (President / Executive Director) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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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"
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
- Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State 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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