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4787 Highway 151 Downsville LA 71234-5145 | |
(318) 283-8887 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 4787 Highway 151, Downsville, Louisiana |
Authorized Official Name and Position | Katie Parnell (CEO) |
Authorized Official Contact | 3182838887 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 792 Bastrop LA 71221-0792 Ph: (318) 283-8887 | 4787 Highway 151 Downsville LA 71234-5145 Ph: (318) 283-8887 |
NPI Number | 1386314706 |
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Provider Enumeration Date | 09/16/2021 |
Last Update Date | 03/03/2022 |
Certification Date | 03/03/2022 |
Medicare PECOS PAC ID | 1254343593 |
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Medicare Enrollment ID | O20220119002849 |
Identifier | Type | State | Issuer |
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1386314706 | NPI | - | NPPES |