Hardtner Medical Center | |
1102 N Pine Rd Olla LA 71465-4804 | |
(318) 495-3131 | |
(318) 495-3346 |
Full Name | Hardtner Medical Center |
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Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
Location | 1102 N Pine Rd, Olla, Louisiana |
Authorized Official Name and Position | Paul G Mathews (CEO) |
Authorized Official Contact | 3184953131 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hardtner Medical Center 1102 N Pine Rd Olla LA 71465-4804 Ph: (318) 495-3131 | Hardtner Medical Center 1102 N Pine Rd Olla LA 71465-4804 Ph: (318) 495-3131 |
NPI Number | 1184800724 |
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Provider Enumeration Date | 01/14/2008 |
Last Update Date | 01/18/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184800724 | NPI | - | NPPES |
1335215 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 06648R (Louisiana) | Primary |