| Associate Family Medical Center Of Bogalusa | |
|
4700 Wichers Dr Ste 206 Marrero LA 70072-3054 | |
| (985) 768-1995 | |
| (504) 340-4636 |
| Full Name | Associate Family Medical Center Of Bogalusa |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 4700 Wichers Dr Ste 206, Marrero, Louisiana |
| Authorized Official Name and Position | Tina Marie Benandi (PRESIDENT) |
| Authorized Official Contact | 9857681995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Associate Family Medical Center Of Bogalusa 4700 Wichers Dr Ste 206 Marrero LA 70072-3054 Ph: (985) 768-1995 | Associate Family Medical Center Of Bogalusa 4700 Wichers Dr Ste 206 Marrero LA 70072-3054 Ph: (985) 768-1995 |
| NPI Number | 1801840210 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 12/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801840210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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