| Bastrop Outpatient Rural Health Clinic | |
|
370 W Hickory Ave Bastrop LA 71220-4442 | |
| (186) 659-9950 | |
| (186) 665-0379 |
| Full Name | Bastrop Outpatient Rural Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 370 W Hickory Ave, Bastrop, Louisiana |
| Authorized Official Name and Position | Catherine M Waldrop (ADMINISTRATOR/CEO) |
| Authorized Official Contact | 3186659950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bastrop Outpatient Rural Health Clinic 370 W Hickory Ave Bastrop LA 71220-4442 Ph: (186) 659-9950 | Bastrop Outpatient Rural Health Clinic 370 W Hickory Ave Bastrop LA 71220-4442 Ph: (186) 659-9950 |
| NPI Number | 1669658571 |
|---|---|
| Provider Enumeration Date | 01/10/2008 |
| Last Update Date | 05/06/2024 |
| Medicare PECOS PAC ID | 4486652385 |
|---|---|
| Medicare Enrollment ID | O20080221000208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669658571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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