| Lincoln Community Health Center | |
|
1140 S Vienna St Ruston LA 71270-5834 | |
| (318) 224-7190 | |
| Not Available |
| Full Name | Lincoln Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1140 S Vienna St, Ruston, Louisiana |
| Authorized Official Name and Position | Deano Thornton (CEO) |
| Authorized Official Contact | 3187047190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lincoln Community Health Center Po Box 1288 Winnfield LA 71483-1288 Ph: (318) 648-0375 | Lincoln Community Health Center 1140 S Vienna St Ruston LA 71270-5834 Ph: (318) 224-7190 |
| NPI Number | 1477090959 |
|---|---|
| Provider Enumeration Date | 01/23/2017 |
| Last Update Date | 07/20/2022 |
| Certification Date | 07/20/2022 |
| Medicare PECOS PAC ID | 2567516545 |
|---|---|
| Medicare Enrollment ID | O20170320001595 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477090959 | NPI | - | NPPES |
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