| Citizens Rural Clinic | |
|
484 Collins Rd Suite A Columbia LA 71418-3388 | |
| (318) 649-5300 | |
| (318) 649-0052 |
| Full Name | Citizens Rural Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 484 Collins Rd, Columbia, Louisiana |
| Authorized Official Name and Position | Russell O Cummings (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3186495300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Citizens Rural Clinic 484 Collins Rd Suite A Columbia LA 71418-3388 Ph: (318) 649-5300 | Citizens Rural Clinic 484 Collins Rd Suite A Columbia LA 71418-3388 Ph: (318) 649-5300 |
| NPI Number | 1205944998 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 02/11/2022 |
| Medicare PECOS PAC ID | 4587552450 |
|---|---|
| Medicare Enrollment ID | O20100208000370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205944998 | NPI | - | NPPES |
| 1443930 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 090 (Louisiana) | Primary |
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