Boersma Clinic, LLC
Boersma Clinic, LLC is a healthcare organization registered as Family Medicine Physician in Ruston, LA, holding Type 2 (organization) NPI 1104024686 since 2007. The authorized official on file is Rachel Boersma, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104024686 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Boersma Clinic, LLC |
| Other name | <Unavail> |
| Practice address | 765 S BONNER ST, Ruston, LA, 71270 |
| Phone | 3182552733 |
| Fax | 3182541066 |
| Enumeration date | 2007-07-06 |
| Last updated in NPPES | 2008-04-20 |
Authorized official
| Name | Rachel Boersma |
|---|---|
| Title | Owner |
| Phone | 3182552733 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | — | — |
Copy-ready billing details
Provider: Boersma Clinic, LLC NPI: 1104024686 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 765 S BONNER ST, Ruston, LA, 71270
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1740360353 | Wanda Sullivan | Individual | Nurse Practitioner | Ruston, LA |
| 1215126834 | Pamela Hearn | Individual | Family Medicine Physician | Ruston, LA |
| 1134438591 | Amazing Care, LLC | Organization | Primary Care Clinic/Center | Ruston, LA |
Verify this record
Cross-check NPI 1104024686 against the authoritative CMS record: view Boersma Clinic, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Boersma Clinic, LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-04-20.