Allen Parish Hospital | |
108 6th Ave Kinder LA 70648-3187 | |
(337) 738-9489 | |
(337) 738-5305 |
Full Name | Allen Parish Hospital |
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Speciality | Psychiatric Unit |
Location | 108 6th Ave, Kinder, Louisiana |
Authorized Official Name and Position | Jacqueline Reviel (CEO) |
Authorized Official Contact | 3377389479 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Allen Parish Hospital 108 6th Ave Kinder LA 70648-3187 Ph: (337) 738-9489 | Allen Parish Hospital 108 6th Ave Kinder LA 70648-3187 Ph: (337) 738-9489 |
NPI Number | 1982601944 |
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Provider Enumeration Date | 07/06/2005 |
Last Update Date | 12/06/2022 |
Certification Date | 12/06/2022 |
Medicare PECOS PAC ID | 3274431341 |
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Medicare Enrollment ID | O20031229000092 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982601944 | NPI | - | NPPES |
1734691 | Medicaid | LA | |
2029938 | Other | PK | |
1705268 | Medicaid | LA | |
1914236 | Other | COMMERCIAL |
Provider Name | Chukwudi B Uchendu |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912959453 PECOS PAC ID: 2961464979 Enrollment ID: I20041102000485 |
Provider Name | Ejiro E Ughovwa |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770521536 PECOS PAC ID: 6709815483 Enrollment ID: I20050812000237 |
Provider Name | William Kenneth Mask |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1215030507 PECOS PAC ID: 2264452457 Enrollment ID: I20080722000445 |
Provider Name | Chad T Porter |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1669652665 PECOS PAC ID: 0547391229 Enrollment ID: I20100624000002 |
Provider Name | Matthew Courville |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548584550 PECOS PAC ID: 2264602127 Enrollment ID: I20110901000045 |
Provider Name | Ralph L Abraham |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1639346174 PECOS PAC ID: 2365686391 Enrollment ID: I20130913000109 |
Provider Name | Justin Pham |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1821040866 PECOS PAC ID: 0042104754 Enrollment ID: I20141022000483 |
Provider Name | Roberto Rivera-morales |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1992797377 PECOS PAC ID: 6002713336 Enrollment ID: I20141105002701 |
Provider Name | William Betz |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1720040389 PECOS PAC ID: 7214905876 Enrollment ID: I20141121001043 |
Provider Name | Matthew K Dang |
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Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1588848857 PECOS PAC ID: 7517131147 Enrollment ID: I20150130000807 |
Provider Name | Alex J Courville |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578983367 PECOS PAC ID: 3274759279 Enrollment ID: I20160120002059 |
Provider Name | Dennis Burton |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1043298417 PECOS PAC ID: 7416857388 Enrollment ID: I20170207001230 |
Provider Name | Pradheep Jothi Shanker |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1457399818 PECOS PAC ID: 8123030657 Enrollment ID: I20170227000231 |
Provider Name | Elliott Jay Wagner |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1558312579 PECOS PAC ID: 7416856745 Enrollment ID: I20190801001127 |
Provider Name | Melanie Helene Clark |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1164692711 PECOS PAC ID: 5294805503 Enrollment ID: I20210528001661 |
Provider Name | David Owens |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1932284833 PECOS PAC ID: 4284546987 Enrollment ID: I20210603000796 |
Provider Name | Michelle Goni |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1235114760 PECOS PAC ID: 4284642281 Enrollment ID: I20210608001704 |
Provider Name | Naiyer Imam |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1992768147 PECOS PAC ID: 6103880935 Enrollment ID: I20210622000106 |
Provider Name | Abbas Chamsuddin |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1578539557 PECOS PAC ID: 0446150262 Enrollment ID: I20210622000844 |
Provider Name | Sanjay Jain |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1730130105 PECOS PAC ID: 7911804968 Enrollment ID: I20210622002747 |
Provider Name | Lloyd D Wagner |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1124161872 PECOS PAC ID: 3870517923 Enrollment ID: I20220922000926 |
Provider Name | Aamer Farooki |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1316941859 PECOS PAC ID: 5698768539 Enrollment ID: I20221017001292 |
Provider Name | Palam Annamalai |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1972529584 PECOS PAC ID: 5698776144 Enrollment ID: I20221026000445 |
Provider Name | Kaylyn Ann Cooley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275268807 PECOS PAC ID: 2365825668 Enrollment ID: I20221123000417 |
Provider Name | Morgan Lafleur Harmon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457057036 PECOS PAC ID: 7315302619 Enrollment ID: I20230419003114 |
Provider Name | Richard Knight |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1740239094 PECOS PAC ID: 7315046190 Enrollment ID: I20230615004070 |
Provider Name | Marshall Lamont Harmon |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1396492807 PECOS PAC ID: 6608214267 Enrollment ID: I20240402003631 |
Apch Pro Fee Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 6th Ave, Kinder, LA 70648 Phone: 337-738-9424 Fax: 337-738-4726 | |
Ndando House Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 152 Old Sawmill Road, Kinder, LA 70648 Phone: 713-292-8739 |