| Casse/community Health Institute | |
|
907 Polk St Mansfield LA 71052-2520 | |
| (318) 872-1015 | |
| (318) 872-1055 |
| Full Name | Casse/community Health Institute |
|---|---|
| Speciality | Clinic/Center |
| Location | 907 Polk St, Mansfield, Louisiana |
| Authorized Official Name and Position | Mary M. Chumley (PRESIDENT / EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3186883394 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Casse/community Health Institute 2120 Bert Kouns Industrial Loop Suite E Shreveport LA 71118-3351 Ph: (318) 688-3350 | Casse/community Health Institute 907 Polk St Mansfield LA 71052-2520 Ph: (318) 872-1015 |
| NPI Number | 1285942284 |
|---|---|
| Provider Enumeration Date | 09/24/2010 |
| Last Update Date | 07/24/2020 |
| Medicare PECOS PAC ID | 8022043710 |
|---|---|
| Medicare Enrollment ID | O20051129000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285942284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 104 (Louisiana) | Primary |
| Provider Name | Fred S Willis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235131665 PECOS PAC ID: 8022068832 Enrollment ID: I20050129000111 |
| Provider Name | Patricia A Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720164379 PECOS PAC ID: 4284736026 Enrollment ID: I20070224000124 |
| Provider Name | Raymond Betcher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952452310 PECOS PAC ID: 1951402320 Enrollment ID: I20161217000036 |
| Provider Name | Alesha N Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063992238 PECOS PAC ID: 4385970524 Enrollment ID: I20190725003780 |
| Provider Name | Emily Krysten Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447805742 PECOS PAC ID: 5698005247 Enrollment ID: I20190924002042 |
| Provider Name | Christina Leach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962714196 PECOS PAC ID: 5698907335 Enrollment ID: I20200117000223 |
| Provider Name | Judith Eliza Thomas-gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922749571 PECOS PAC ID: 8527455534 Enrollment ID: I20220421001338 |
| Provider Name | Brandi N Jamison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962168013 PECOS PAC ID: 8527443506 Enrollment ID: I20220912000901 |
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 | |
Casse 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: 205 Franklin St, Mansfield, LA 71052 Phone: 318-872-3956 | |
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 |