| Church Point Primary Care, Llc | |
|
202 Murrell St Church Point LA 70525-2950 | |
| (337) 684-1300 | |
| Not Available |
| Full Name | Church Point Primary Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 202 Murrell St, Church Point, Louisiana |
| Authorized Official Name and Position | Gene Malbrough (OWNER) |
| Authorized Official Contact | 3376841300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Church Point Primary Care, Llc 202 Murrell St Church Point LA 70525-2950 Ph: () - | Church Point Primary Care, Llc 202 Murrell St Church Point LA 70525-2950 Ph: (337) 684-1300 |
| NPI Number | 1841627882 |
|---|---|
| Provider Enumeration Date | 10/06/2013 |
| Last Update Date | 02/26/2014 |
| Medicare PECOS PAC ID | 8426288622 |
|---|---|
| Medicare Enrollment ID | O20140310001032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841627882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sandy F Reiners |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356503759 PECOS PAC ID: 6002981255 Enrollment ID: I20080822000062 |
| Provider Name | Shawanna Marie Guillory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013344274 PECOS PAC ID: 6204061070 Enrollment ID: I20131101001213 |
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