| Minden Medical Center | |
|
1 Medical Plaza Pl Minden LA 71055-3330 | |
| (318) 377-2321 | |
| (318) 371-5606 |
| Full Name | Minden Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1 Medical Plaza Pl, Minden, Louisiana |
| Authorized Official Name and Position | James Russell Williams (CEO) |
| Authorized Official Contact | 3183715601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minden Medical Center 1 Medical Plaza Pl Minden LA 71055-3330 Ph: (318) 377-2321 | Minden Medical Center 1 Medical Plaza Pl Minden LA 71055-3330 Ph: (318) 377-2321 |
| NPI Number | 1740350560 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 12/03/2020 |
| Certification Date | 12/03/2020 |
| Medicare PECOS PAC ID | 3779832456 |
|---|---|
| Medicare Enrollment ID | O20180822002466 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740350560 | NPI | - | NPPES |
| 1767085 | Medicaid | LA | |
| 60109 | Other | LA | BLUE CROSS/PSYCH UNIT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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