Chatham Rural Health Clinic | |
6619 Highway 34 Chatham LA 71226-9326 | |
(318) 249-2743 | |
(318) 649-5094 |
Full Name | Chatham Rural Health Clinic |
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Speciality | Clinic/Center |
Location | 6619 Highway 34, Chatham, Louisiana |
Authorized Official Name and Position | Rhonda W Etheridge (OFFICE MANAGER) |
Authorized Official Contact | 3182492743 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Chatham Rural Health Clinic Po Box 899 Columbia LA 71418-0899 Ph: (318) 649-6111 | Chatham Rural Health Clinic 6619 Highway 34 Chatham LA 71226-9326 Ph: (318) 249-2743 |
NPI Number | 1114222072 |
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Provider Enumeration Date | 01/24/2011 |
Last Update Date | 03/06/2020 |
Medicare PECOS PAC ID | 9638063944 |
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Medicare Enrollment ID | O20110408000710 |
Identifier | Type | State | Issuer |
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1114222072 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Chatham Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 804 Chatham Avenue, Chatham, LA 71226 Phone: 318-249-3200 Fax: 318-249-3204 |