Springlake Behavioral Health Bunkie Llc | |
323 Evergreen St Ste B Bunkie LA 71322-1307 | |
(318) 346-3143 | |
(318) 295-4017 |
Full Name | Springlake Behavioral Health Bunkie Llc |
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Speciality | Psychiatric Hospital |
Location | 323 Evergreen St Ste B, Bunkie, Louisiana |
Authorized Official Name and Position | Phillip Sean Wendell (CEO) |
Authorized Official Contact | 2258104050 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Springlake Behavioral Health Bunkie Llc 14707 Perkins Rd Baton Rouge LA 70810-2216 Ph: (225) 810-4040 | Springlake Behavioral Health Bunkie Llc 323 Evergreen St Ste B Bunkie LA 71322-1307 Ph: (318) 346-3143 |
NPI Number | 1184044430 |
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Provider Enumeration Date | 04/24/2014 |
Last Update Date | 04/25/2024 |
Certification Date | 04/25/2024 |
Medicare PECOS PAC ID | 9931321783 |
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Medicare Enrollment ID | O20150922000883 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184044430 | NPI | - | NPPES |
2700227 | Medicaid | LA | |
194112 | Other | MEDICARE |
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