| Avoyelles Charter Sbhc | |
|
201 Longfellow Rd Mansura LA 71350-4292 | |
| (318) 253-4785 | |
| (318) 253-8172 |
| Full Name | Avoyelles Charter Sbhc |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 201 Longfellow Rd, Mansura, Louisiana |
| Authorized Official Name and Position | Monte Wilson (CEO) |
| Authorized Official Contact | 3374702100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avoyelles Charter Sbhc 3330 Masonic Dr Alexandria LA 71301-3841 Ph: (318) 483-4031 | Avoyelles Charter Sbhc 201 Longfellow Rd Mansura LA 71350-4292 Ph: (318) 253-4785 |
| NPI Number | 1225157050 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 10/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225157050 | NPI | - | NPPES |
| 1446939 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | 234 (Louisiana) | Primary |
Access Health Louisiana Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 Longfellow Rd, Mansura, LA 71350 Phone: 504-575-3712 | |
Practicare, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7406 Highway 1 Ste 103, Mansura, LA 71350 Phone: 318-739-0086 Fax: 877-325-2708 | |
Mansura Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6615 St Phillip St, Mansura, LA 71350 Phone: 337-945-8824 Fax: 318-941-2388 |