| Catahoula Health Center | |
|
2801 Fourth St Jonesville LA 71343-2026 | |
| (318) 792-8696 | |
| Not Available |
| Full Name | Catahoula Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2801 Fourth St, Jonesville, Louisiana |
| Authorized Official Name and Position | Holly Guillot Harvey (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 3187928696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catahoula Health Center 2801 Fourth St Jonesville LA 71343-2026 Ph: () - | Catahoula Health Center 2801 Fourth St Jonesville LA 71343-2026 Ph: (318) 792-8696 |
| NPI Number | 1700345964 |
|---|---|
| Provider Enumeration Date | 03/18/2019 |
| Last Update Date | 06/16/2020 |
| Medicare PECOS PAC ID | 7214359827 |
|---|---|
| Medicare Enrollment ID | O20200626000446 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700345964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Donnah Barlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245496579 PECOS PAC ID: 8022185875 Enrollment ID: I20080922000227 |
| Provider Name | Russel N Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184685158 PECOS PAC ID: 7113953902 Enrollment ID: I20120321000743 |
Kidcare Jonesville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2801 Fourth St Ste 2, Jonesville, LA 71343 Phone: 318-339-9901 Fax: 318-339-9903 | |
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