| West Louisiana Family Practice-deridder | |
|
412 S Pine St Deridder LA 70634-4840 | |
| (337) 462-5700 | |
| (337) 462-6856 |
| Full Name | West Louisiana Family Practice-deridder |
|---|---|
| Speciality | Clinic/Center |
| Location | 412 S Pine St, Deridder, Louisiana |
| Authorized Official Name and Position | Donald E. Cameron (BOARD MEMBER) |
| Authorized Official Contact | 3182268202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Louisiana Family Practice-deridder 1020 W Fertitta Blvd Leesville LA 71446-4645 Ph: (337) 239-9401 | West Louisiana Family Practice-deridder 412 S Pine St Deridder LA 70634-4840 Ph: (337) 462-5700 |
| NPI Number | 1831659333 |
|---|---|
| Provider Enumeration Date | 03/21/2019 |
| Last Update Date | 03/16/2023 |
| Medicare PECOS PAC ID | 4082963301 |
|---|---|
| Medicare Enrollment ID | O20190503001393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831659333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Imperial Health Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 W 5th St, Deridder, LA 70634 Phone: 337-202-7850 | |
Davenport Family Medical Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 W 6th St, Deridder, LA 70634 Phone: 337-460-0690 Fax: 337-460-0961 | |
Beauregard Medical And Surgical Center, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 S Washington St, Deridder, LA 70634 Phone: 337-462-7409 Fax: 337-462-7479 | |
Beauregard Parish School Board Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 W 3rd St, Deridder, LA 70634 Phone: 337-463-5551 | |
Kufoy Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 311 S Pine St, Deridder, LA 70634 Phone: 337-463-3500 Fax: 337-463-3526 | |
Beauregard Parish School Board Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 W 3rd St, Deridder, LA 70634 Phone: 337-463-5551 | |
Family Health Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1808 Highway 190 W, Deridder, LA 70634 Phone: 337-855-9023 Fax: 337-855-1829 |