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1175 Pine St Suite 100 Arcadia LA 71001-3113 | |
(318) 263-7970 | |
(318) 263-2008 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1175 Pine St, Arcadia, Louisiana |
Authorized Official Name and Position | Donna J Anglin (ADMINISTRATOR) |
Authorized Official Contact | 3182637970 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1175 Pine St Suite 100 Arcadia LA 71001-3113 Ph: (318) 263-7970 | 1175 Pine St Suite 100 Arcadia LA 71001-3113 Ph: (318) 263-7970 |
NPI Number | 1316038441 |
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Provider Enumeration Date | 09/27/2006 |
Last Update Date | 02/24/2010 |
Medicare PECOS PAC ID | 8527059047 |
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Medicare Enrollment ID | O20040521001015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316038441 | NPI | - | NPPES |
1172774 | Medicaid | LA | |
1168190 | Medicaid | LA | |
1442950 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 060 (Louisiana) | Primary |
Provider Name | Sandra K Carter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740223387 PECOS PAC ID: 8527083534 Enrollment ID: I20051010000289 |
Provider Name | Jennifer Stevenson Roy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780211607 PECOS PAC ID: 5092137950 Enrollment ID: I20200623000032 |
Willis Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Factory Outlet Dr, Ste 12, Arcadia, LA 71001 Phone: 318-263-4701 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Courthouse Dr Ste 2200, Arcadia, LA 71001 Phone: 833-784-2669 Fax: 844-784-2329 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Courthouse Dr, Arcadia, LA 71001 Phone: 318-263-2215 |