Carolinska Health Corporation | |
309 Jackson St Monroe LA 71201-7407 | |
(318) 381-2716 | |
(318) 737-1134 |
Full Name | Carolinska Health Corporation |
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Speciality | Family Medicine |
Location | 309 Jackson St, Monroe, Louisiana |
Authorized Official Name and Position | Brittney Whitlock (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 3183256200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Carolinska Health Corporation Po Box 4347 Monroe LA 71211-4347 Ph: (318) 381-2716 | Carolinska Health Corporation 309 Jackson St Monroe LA 71201-7407 Ph: (318) 381-2716 |
NPI Number | 1134756539 |
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Provider Enumeration Date | 03/25/2020 |
Last Update Date | 03/25/2020 |
Medicare PECOS PAC ID | 0042640963 |
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Medicare Enrollment ID | O20200416003385 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134756539 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Nilgun C Frengell |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497781660 PECOS PAC ID: 5294627824 Enrollment ID: I20090212000403 |
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