Chatham Medical Clinic | |
804 Chatham Avenue Chatham LA 71226 | |
(318) 249-3200 | |
(318) 249-3204 |
Full Name | Chatham Medical Clinic |
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Speciality | Clinic/Center |
Location | 804 Chatham Avenue, Chatham, Louisiana |
Authorized Official Name and Position | John Morgan (CEO) |
Authorized Official Contact | 3183954223 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Chatham Medical Clinic 165 Beech Springs Rd Jonesboro LA 71251-2013 Ph: (318) 395-4435 | Chatham Medical Clinic 804 Chatham Avenue Chatham LA 71226 Ph: (318) 249-3200 |
NPI Number | 1295965564 |
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Provider Enumeration Date | 07/21/2009 |
Last Update Date | 10/05/2017 |
Medicare PECOS PAC ID | 9335048081 |
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Medicare Enrollment ID | O20101203001217 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295965564 | NPI | - | NPPES |
2338765 | Medicaid | LA | |
193483 | Other | LA | MEDICARE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 230 RHC-3 (Louisiana) | Primary |
Chatham Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6619 Highway 34, Chatham, LA 71226 Phone: 318-249-2743 Fax: 318-649-5094 |