Jefferson Davis Rural Clinic is a dental clinic (Clinic/center - Rural Health) in Welsh, Louisiana. The current practice location for Jefferson Davis Rural Clinic is 308 Palmer St, Welsh, Louisiana. For appointments, you can reach them via phone at
(713) 292-8739. The mailing address for Jefferson Davis Rural Clinic is Po Box 1015, Lake Charles, Louisiana and phone number is (713) 292-8739.
Jefferson Davis Rural Clinic is licensed to practice in Louisiana (license number ) and its
NPI number is 1053711887. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(713) 292-8739.
Dental Care Clinic Profile
| Full Name | Jefferson Davis Rural Clinic |
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| Speciality | Clinic/center - Rural Health |
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| Location | 308 Palmer St, Welsh, Louisiana |
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| Authorized Official Name and Position | Victor Elokan Ndando-ngoo (FOUNDER/CEO) |
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| Authorized Official Contact | 7132928739 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jefferson Davis Rural Clinic
Po Box 1015
Lake Charles
LA 70602-1015
Ph: (713) 292-8739 | Jefferson Davis Rural Clinic
308 Palmer St
Welsh
LA 70591-4320
Ph: (713) 292-8739 |
NPI Details:
| NPI Number | 1053711887 |
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| Provider Enumeration Date | 08/28/2014 |
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| Last Update Date | 08/28/2014 |
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Medical Identifiers
Medical identifiers for Jefferson Davis Rural Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053711887 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QD0000X | Clinic/center - Dental | (Louisiana) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (Louisiana) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (Louisiana) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (Louisiana) | Primary |
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