| Casse Community Health Institute | |
|
907 Polk St Mansfield LA 71052-2520 | |
| (318) 872-1015 | |
| (318) 872-1055 |
| Full Name | Casse Community Health Institute |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 907 Polk St, Mansfield, Louisiana |
| Authorized Official Name and Position | Connie B Gannon (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 3188721015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casse Community Health Institute 907 Polk St Mansfield LA 71052-2520 Ph: (318) 872-1015 | Casse Community Health Institute 907 Polk St Mansfield LA 71052-2520 Ph: (318) 872-1015 |
| NPI Number | 1174609721 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174609721 | NPI | - | NPPES |
| 1452769 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Desoto Regional Family Medicine - Mansfield Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 Jefferson St, Mansfield, LA 71052 Phone: 318-872-2700 Fax: 318-872-6214 | |
Desoto Regional Family Medicine-mansfield Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 Jefferson St, Mansfield, LA 71052 Phone: 318-872-2700 Fax: 318-872-6214 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Franklin St, Mansfield, LA 71052 Phone: 318-872-3956 | |
Casse/community Health Institute Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 907 Polk St, Mansfield, LA 71052 Phone: 318-872-1015 Fax: 318-872-1055 | |
Community Health Institute Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 907 Polk St, Mansfield, LA 71052 Phone: 318-872-1015 Fax: 318-872-1055 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Adams St, Mansfield, LA 71052 Phone: 833-784-2669 Fax: 844-784-2329 |