Hope Clinical Services | |
5615d Jackson Street Ext Alexandria LA 71303-2326 | |
(318) 442-9999 | |
(318) 442-9976 |
Full Name | Hope Clinical Services |
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Speciality | Psychiatry & Neurology |
Location | 5615d Jackson Street Ext, Alexandria, Louisiana |
Authorized Official Name and Position | Oladapo B Folarin (OWNER) |
Authorized Official Contact | 3184429999 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Hope Clinical Services 5615d Jackson Street Ext Alexandria LA 71303-2326 Ph: (318) 442-9999 | Hope Clinical Services 5615d Jackson Street Ext Alexandria LA 71303-2326 Ph: (318) 442-9999 |
NPI Number | 1962717124 |
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Provider Enumeration Date | 08/12/2010 |
Last Update Date | 08/12/2010 |
Medicare PECOS PAC ID | 5092839084 |
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Medicare Enrollment ID | O20100827000150 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962717124 | NPI | - | NPPES |
1436429 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (Louisiana) | Primary |
Provider Name | Oladapo B Folarin |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1346206349 PECOS PAC ID: 4688667561 Enrollment ID: I20040406001305 |
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