Alliance Healthcare | |
210 B South Girouard Dr Broussard LA 70518-5220 | |
(337) 369-0008 | |
Not Available |
Full Name | Alliance Healthcare |
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Speciality | Nurse Practitioner |
Location | 210 B South Girouard Dr, Broussard, Louisiana |
Authorized Official Name and Position | Amber Littlefield (OWNER/NP) |
Authorized Official Contact | 3372882240 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alliance Healthcare 3100 Jane St New Iberia LA 70563-1003 Ph: (337) 288-2240 | Alliance Healthcare 210 B South Girouard Dr Broussard LA 70518-5220 Ph: (337) 369-0008 |
NPI Number | 1720842248 |
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Provider Enumeration Date | 02/06/2024 |
Last Update Date | 10/23/2024 |
Certification Date | 10/23/2024 |
Medicare PECOS PAC ID | 3971036831 |
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Medicare Enrollment ID | O20241030002655 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720842248 | NPI | - | NPPES |
Provider Name | Amber Portier Littlefield |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538440094 PECOS PAC ID: 9537331327 Enrollment ID: I20111021000250 |
Provider Name | Sean M Thibodeaux |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720766884 PECOS PAC ID: 3971957333 Enrollment ID: I20231004000563 |
Katie L Simon Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1137 S Bernard Rd Ste A1006, Broussard, LA 70518 Phone: 337-306-4540 |