| Basile Family Healthcare | |
|
2932 Stagg Ave Ste A Basile LA 70515-5560 | |
| (337) 432-5552 | |
| (337) 432-5553 |
| Full Name | Basile Family Healthcare |
|---|---|
| Speciality | Clinic/center |
| Location | 2932 Stagg Ave, Basile, Louisiana |
| Authorized Official Name and Position | Jena Miller Roy (OWNER) |
| Authorized Official Contact | 3374325552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Basile Family Healthcare 2932 Stagg Ave Ste A Basile LA 70515-5560 Ph: (337) 432-5552 | Basile Family Healthcare 2932 Stagg Ave Ste A Basile LA 70515-5560 Ph: (337) 432-5552 |
| NPI Number | 1265710982 |
|---|---|
| Provider Enumeration Date | 07/29/2011 |
| Last Update Date | 10/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265710982 | NPI | - | NPPES |
| 2116479 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | AP06059 (Louisiana) | Primary |
Basile Family Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2932 Stagg Ave, Basile, LA 70515 Phone: 337-432-5552 Fax: 337-432-5553 | |
Basile Family Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2932 Stagg Ave, Suite A, Basile, LA 70515 Phone: 337-432-5552 Fax: 337-432-5553 | |
Basile Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1431 Fuselier Ave, Basile, LA 70515 Phone: 337-432-0200 Fax: 337-432-0202 |