| Riser Middle School Based Health Center | |
|
100 Price Dr West Monroe LA 71292-6315 | |
| (318) 325-0973 | |
| Not Available |
| Full Name | Riser Middle School Based Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Price Dr, West Monroe, 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 |
|---|---|
| Riser Middle School Based Health Center Po Box 792 Bastrop LA 71221-0792 Ph: (318) 239-8015 | Riser Middle School Based Health Center 100 Price Dr West Monroe LA 71292-6315 Ph: (318) 325-0973 |
| NPI Number | 1073993580 |
|---|---|
| Provider Enumeration Date | 06/01/2015 |
| Last Update Date | 03/03/2022 |
| Certification Date | 03/03/2022 |
| Medicare PECOS PAC ID | 1254343593 |
|---|---|
| Medicare Enrollment ID | O20150626000950 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073993580 | NPI | - | NPPES |
| 2398920 | Medicaid | LA |
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