| Huddle Elementary School-based Clinic | |
|
505 Texas Ave Alexandria LA 71301-5038 | |
| (318) 648-0375 | |
| (318) 648-0378 |
| Full Name | Huddle Elementary School-based Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 505 Texas Ave, Alexandria, Louisiana |
| Authorized Official Name and Position | Deano Thornton (CEO) |
| Authorized Official Contact | 3182094510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Huddle Elementary School-based Clinic Po Box 1288 Winnfield LA 71483-1288 Ph: (318) 209-4510 | Huddle Elementary School-based Clinic 505 Texas Ave Alexandria LA 71301-5038 Ph: (318) 648-0375 |
| NPI Number | 1639691223 |
|---|---|
| Provider Enumeration Date | 07/14/2017 |
| Last Update Date | 06/26/2019 |
| Medicare PECOS PAC ID | 2567516545 |
|---|---|
| Medicare Enrollment ID | O20210511000640 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639691223 | NPI | - | NPPES |
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