| |
904 First St Jonesville LA 71343-2108 | |
(318) 339-7265 | |
(318) 339-7267 |
Full Name | |
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Speciality | Clinic/Center |
Location | 904 First St, Jonesville, Louisiana |
Authorized Official Name and Position | Debra K Miesch (CEO) |
Authorized Official Contact | 3183895727 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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307 Chisum St Sicily Island LA 71368-4807 Ph: (318) 339-7265 | 904 First St Jonesville LA 71343-2108 Ph: (318) 339-7265 |
NPI Number | 1245629260 |
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Provider Enumeration Date | 01/14/2015 |
Last Update Date | 04/08/2022 |
Medicare PECOS PAC ID | 8729067434 |
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Medicare Enrollment ID | O20160311002019 |
Identifier | Type | State | Issuer |
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1245629260 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Louisiana) | Primary |
Dr.william C. Coney Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 904 First St, Jonesville, LA 71343 Phone: 318-339-6162 Fax: 318-339-6719 | |
Catahoula Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2801 Fourth St, Jonesville, LA 71343 Phone: 318-792-8696 |