| Marthaville Sbhc | |
|
10800 Highway 120 Marthaville LA 71450-3460 | |
| (318) 472-5235 | |
| (318) 472-5066 |
| Full Name | Marthaville Sbhc |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 10800 Highway 120, Marthaville, 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 |
|---|---|
| Marthaville Sbhc 3330 Masonic Dr Alexandria LA 71301-3841 Ph: (318) 483-4031 | Marthaville Sbhc 10800 Highway 120 Marthaville LA 71450-3460 Ph: (318) 472-5235 |
| NPI Number | 1609031962 |
|---|---|
| Provider Enumeration Date | 07/25/2008 |
| Last Update Date | 10/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609031962 | NPI | - | NPPES |
| 1807851 | 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: 10800 Highway 120, Marthaville, LA 71450 Phone: 866-530-6111 |