Bourgeois Family Medicine Clinic A Professional Medical Corporation | |
1409 Church St Jeanerette LA 70544-4407 | |
(337) 276-6018 | |
(337) 276-9507 |
Full Name | Bourgeois Family Medicine Clinic A Professional Medical Corporation |
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Speciality | Clinic/Center |
Location | 1409 Church St, Jeanerette, Louisiana |
Authorized Official Name and Position | Leonard Barrow Bourgeois (OWNER) |
Authorized Official Contact | 3372766018 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bourgeois Family Medicine Clinic A Professional Medical Corporation 1409 Church St Jeanerette LA 70544-4407 Ph: (337) 276-6018 | Bourgeois Family Medicine Clinic A Professional Medical Corporation 1409 Church St Jeanerette LA 70544-4407 Ph: (337) 276-6018 |
NPI Number | 1710169479 |
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Provider Enumeration Date | 12/04/2007 |
Last Update Date | 03/11/2008 |
Medicare PECOS PAC ID | 2668553173 |
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Medicare Enrollment ID | O20080122000537 |
Identifier | Type | State | Issuer |
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1710169479 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 017806 (Louisiana) | Primary |
Provider Name | Leonard B Bourgeois |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053413583 PECOS PAC ID: 2769563279 Enrollment ID: I20080122000533 |
James Falterman, Md, Amc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1411 Church St, Jeanerette, LA 70544 Phone: 337-276-6374 Fax: 337-276-5815 | |
Stephen A Boudreaux Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2716 Main St, Jeanerette, LA 70544 Phone: 337-276-5012 Fax: 337-276-9378 | |
Jeanerette Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 217 Bourg St, Jeanerette, LA 70544 Phone: 337-276-7002 Fax: 337-276-3700 |