| Trucare Transportation | |
|
124 Hickory St Pineville LA 71360-6735 | |
| (318) 791-2116 | |
| Not Available |
| Full Name | Trucare Transportation |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 124 Hickory St, Pineville, Louisiana |
| Authorized Official Name and Position | Claude Joseph Smith (OWNER) |
| Authorized Official Contact | 3187912116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trucare Transportation 124 Hickory St Pineville LA 71360-6735 Ph: (318) 791-2116 | Trucare Transportation 124 Hickory St Pineville LA 71360-6735 Ph: (318) 791-2116 |
| NPI Number | 1154790541 |
|---|---|
| Provider Enumeration Date | 09/16/2015 |
| Last Update Date | 09/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154790541 | NPI | - | NPPES |
| 1803448 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3205100102015 (Louisiana) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | 3205100102015 (Louisiana) | Primary |
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