West Louisiana Family Practice-rosepine | |
18570 Johnny B. Hall Memorial Hwy U.s. Route 171 Rosepine LA 70659 | |
(337) 462-1913 | |
(337) 462-1898 |
Full Name | West Louisiana Family Practice-rosepine |
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Speciality | Clinic/Center |
Location | 18570 Johnny B. Hall Memorial Hwy, Rosepine, 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 |
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West Louisiana Family Practice-rosepine 1020 W Fertitta Blvd Leesville LA 71446-4645 Ph: (337) 239-5274 | West Louisiana Family Practice-rosepine 18570 Johnny B. Hall Memorial Hwy U.s. Route 171 Rosepine LA 70659 Ph: (337) 462-1913 |
NPI Number | 1982164224 |
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Provider Enumeration Date | 03/22/2019 |
Last Update Date | 03/16/2023 |
Medicare PECOS PAC ID | 4082963301 |
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Medicare Enrollment ID | O20190520001228 |
Identifier | Type | State | Issuer |
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1982164224 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |