Clhg-ville Platte Llc | |
800 E Main St Ville Platte LA 70586-4618 | |
(337) 363-5684 | |
Not Available |
Full Name | Clhg-ville Platte Llc |
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Speciality | Psychiatric Unit |
Location | 800 E Main St, Ville Platte, Louisiana |
Authorized Official Name and Position | Kristopher Aguillard (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 3373639486 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clhg-ville Platte Llc 800 E Main St Ville Platte LA 70586-4618 Ph: (337) 363-5684 | Clhg-ville Platte Llc 800 E Main St Ville Platte LA 70586-4618 Ph: (337) 363-5684 |
NPI Number | 1063185502 |
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Provider Enumeration Date | 07/30/2021 |
Last Update Date | 07/30/2021 |
Certification Date | 07/29/2021 |
Medicare PECOS PAC ID | 4486903309 |
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Medicare Enrollment ID | O20210824003627 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063185502 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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