Full Name | |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 3480 Hwy 165 Sth, Monroe, Louisiana |
Authorized Official Name and Position | Adrian L Washington (FNP) |
Authorized Official Contact | 3186998582 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
3480 Hwy 165 Sth Monroe LA 71202 Ph: (318) 699-8582 | 3480 Hwy 165 Sth Monroe LA 71202 Ph: (318) 699-8582 |
NPI Number | 1649619750 |
---|---|
Provider Enumeration Date | 06/21/2013 |
Last Update Date | 06/21/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649619750 | NPI | - | NPPES |
1024368 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Integrated Health Services Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 Tower Dr, Monroe, LA 71201 Phone: 318-410-1044 | |
David L. Barnes, Md, Apmc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3400 Medical Park Dr, Suite C, Monroe, LA 71203 Phone: 318-325-6078 Fax: 318-324-9694 | |
J Dean Stockstill Md, A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3510 Magnolia Cv, Suite 190, Monroe, LA 71203 Phone: 318-323-7576 Fax: 318-322-7131 | |