| Fphsa Hammond Clinic | |
|
15785 Medical Arts Dr Hammond LA 70403-1447 | |
| (985) 543-4080 | |
| (985) 543-4090 |
| Full Name | Fphsa Hammond Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 15785 Medical Arts Dr, Hammond, Louisiana |
| Authorized Official Name and Position | Melanie Watkins (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9855434333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fphsa Hammond Clinic 15785 Medical Arts Dr Hammond LA 70403-1447 Ph: (985) 543-4080 | Fphsa Hammond Clinic 15785 Medical Arts Dr Hammond LA 70403-1447 Ph: (985) 543-4080 |
| NPI Number | 1578992079 |
|---|---|
| Provider Enumeration Date | 11/05/2013 |
| Last Update Date | 02/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578992079 | NPI | - | NPPES |
| 1710464 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 170 (Louisiana) | Primary |
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