| Casse Community Health - Stonewall | |
|
149 Stonecreek Dr. Stonewall LA 71078-4906 | |
| (318) 688-3350 | |
| (318) 688-3655 |
| Full Name | Casse Community Health - Stonewall |
|---|---|
| Speciality | Clinic/Center |
| Location | 149 Stonecreek Dr., Stonewall, Louisiana |
| Authorized Official Name and Position | Jeff Moody (C.O.O.) |
| Authorized Official Contact | 3186883350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Casse Community Health - Stonewall 2120 Bert Kouns Industrial Loop Ste A Shreveport LA 71118-3351 Ph: (318) 688-3350 | Casse Community Health - Stonewall 149 Stonecreek Dr. Stonewall LA 71078-4906 Ph: (318) 688-3350 |
| NPI Number | 1104340686 |
|---|---|
| Provider Enumeration Date | 07/27/2017 |
| Last Update Date | 11/27/2017 |
| Medicare PECOS PAC ID | 8022043710 |
|---|---|
| Medicare Enrollment ID | O20170906002610 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104340686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Magnolia Family Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 324 Plantation Hills Blvd, Stonewall, LA 71078 Phone: 318-220-6879 | |
Council For Advancement Of Social Service And Education Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 149 Stonecreek Dr., Stonewall, LA 71078 Phone: 318-688-3350 |