| Barousse Family Clinic Llc | |
|
408 W Canal St Church Point LA 70525-3402 | |
| (337) 684-8001 | |
| (337) 684-8003 |
| Full Name | Barousse Family Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 408 W Canal St, Church Point, Louisiana |
| Authorized Official Name and Position | Megan Barousse (OWNER) |
| Authorized Official Contact | 3376848001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barousse Family Clinic Llc 408 W Canal St Church Point LA 70525-3402 Ph: (337) 684-8001 | Barousse Family Clinic Llc 408 W Canal St Church Point LA 70525-3402 Ph: (337) 684-8001 |
| NPI Number | 1811657752 |
|---|---|
| Provider Enumeration Date | 12/20/2021 |
| Last Update Date | 04/13/2023 |
| Medicare PECOS PAC ID | 2365834835 |
|---|---|
| Medicare Enrollment ID | O20220112001882 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811657752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Gwendolyn B Leger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891076865 PECOS PAC ID: 0446422497 Enrollment ID: I20111017000469 |
| Provider Name | Megan Deshotel Barousse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033550686 PECOS PAC ID: 5395975478 Enrollment ID: I20140312000203 |
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