| Bayou Wellness Center, Inc. | |
|
27403 Hwy 190, Suite B Lacombe LA 70445-1550 | |
| (985) 218-9555 | |
| (985) 218-9557 |
| Full Name | Bayou Wellness Center, Inc. |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 27403 Hwy 190, Suite B, Lacombe, Louisiana |
| Authorized Official Name and Position | Linda Marie Anderson (CEO/OWNER) |
| Authorized Official Contact | 9852189556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayou Wellness Center, Inc. Po Box 1550 27403 Hwy 190, Suite B Lacombe LA 70445-1550 Ph: (985) 218-9555 | Bayou Wellness Center, Inc. 27403 Hwy 190, Suite B Lacombe LA 70445-1550 Ph: (985) 218-9555 |
| NPI Number | 1083854087 |
|---|---|
| Provider Enumeration Date | 03/03/2009 |
| Last Update Date | 04/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083854087 | NPI | - | NPPES |
| 21-33306 | Medicaid | LA | |
| 2133306 | Medicaid | LA |
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