| Children's International, Llc | |
|
626 Superior Ave Bogalusa LA 70427-2631 | |
| (985) 730-6671 | |
| (985) 730-6671 |
| Full Name | Children's International, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 626 Superior Ave, Bogalusa, Louisiana |
| Authorized Official Name and Position | Eduardo Hernandez (CHIEF EXECUTIVE OFFICE) |
| Authorized Official Contact | 9856461580 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's International, Llc 59101 Amber St Slidell LA 70461-3708 Ph: (985) 646-1580 | Children's International, Llc 626 Superior Ave Bogalusa LA 70427-2631 Ph: (985) 730-6671 |
| NPI Number | 1932630118 |
|---|---|
| Provider Enumeration Date | 03/21/2017 |
| Last Update Date | 03/21/2017 |
| Medicare PECOS PAC ID | 1254633308 |
|---|---|
| Medicare Enrollment ID | O20180320002675 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932630118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Bogalusa Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 M J Israel Dr, Bogalusa, LA 70427 Phone: 985-732-7122 | |
Clinics Of The Southeast Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 219 S Border Dr, Bogalusa, LA 70427 Phone: 985-732-1568 | |
Bogalusa Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1403 North Ave, Bogalusa, LA 70427 Phone: 985-732-7122 | |
Purnachandra R Yerneni Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 Avenue F, Bogalusa, LA 70427 Phone: 985-732-9930 Fax: 985-732-9884 | |
Rogelio A. Casama, Md, Apmc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2807 S Columbia St, Bogalusa, LA 70427 Phone: 985-735-8382 Fax: 985-735-9075 | |
Bogalusa Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 433 Plaza St, Bogalusa, LA 70427 Phone: 985-735-1198 | |
Victor Theriault Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 712 Willis Ave, Bogalusa, LA 70427 Phone: 985-732-4853 |