| Vcphcs V, Llc | |
|
1141 Whitney Avenue Building 4 Gretna LA 70056 | |
| (504) 347-1120 | |
| Not Available |
| Full Name | Vcphcs V, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1141 Whitney Avenue, Gretna, Louisiana |
| Authorized Official Name and Position | Jemece Michelle Gasaway (DIRECTOR OF LICENSING) |
| Authorized Official Contact | 2143656126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vcphcs V, Llc 5001 Spring Valley Road Suite 600 East Dallas TX 75244-3946 Ph: (214) 365-6100 | Vcphcs V, Llc 1141 Whitney Avenue Building 4 Gretna LA 70056 Ph: (504) 347-1120 |
| NPI Number | 1962663542 |
|---|---|
| Provider Enumeration Date | 06/17/2008 |
| Last Update Date | 02/20/2019 |
| Medicare PECOS PAC ID | 6305270745 |
|---|---|
| Medicare Enrollment ID | O20191218001193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962663542 | NPI | - | NPPES |
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