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2932 Stagg Ave Suite A Basile LA 70515-5560 | |
(337) 432-5552 | |
(337) 432-5553 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 2932 Stagg Ave, Basile, Louisiana |
Authorized Official Name and Position | Jena M Roy (SOLE MEMBER/ADMINISTRATOR) |
Authorized Official Contact | 3374325552 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2932 Stagg Ave Suite A Basile LA 70515-5560 Ph: (337) 432-5552 | 2932 Stagg Ave Suite A Basile LA 70515-5560 Ph: (337) 432-5552 |
NPI Number | 1366847139 |
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Provider Enumeration Date | 10/23/2014 |
Last Update Date | 10/23/2014 |
Identifier | Type | State | Issuer |
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1366847139 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | APPLIED FOR (Louisiana) | Primary |