| Abbeville General Hospital Clinic | |
|
2419 Alonzo St Abbeville LA 70510-4008 | |
| (337) 892-0630 | |
| (337) 893-0403 |
| Full Name | Abbeville General Hospital Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2419 Alonzo St, Abbeville, Louisiana |
| Authorized Official Name and Position | Ray Landry (CEO) |
| Authorized Official Contact | 3378935466 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abbeville General Hospital Clinic 118 N Hospital Dr Abbeville LA 70510-4039 Ph: (337) 893-5466 | Abbeville General Hospital Clinic 2419 Alonzo St Abbeville LA 70510-4008 Ph: (337) 892-0630 |
| NPI Number | 1790744506 |
|---|---|
| Provider Enumeration Date | 03/21/2006 |
| Last Update Date | 11/10/2020 |
| Medicare PECOS PAC ID | 8325933872 |
|---|---|
| Medicare Enrollment ID | O20051117001034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790744506 | NPI | - | NPPES |
| 1448087 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 160 RHC-1 (Louisiana) | Primary |
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