| |
104 Morris Cir Homer LA 71040-2100 | |
(318) 927-6777 | |
(318) 927-6714 |
Full Name | |
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Speciality | Family Medicine |
Location | 104 Morris Cir, Homer, Louisiana |
Authorized Official Name and Position | Clifton Wales Salmon (OWNER) |
Authorized Official Contact | 3189276777 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 300 104 Morris Circle Homer LA 71040-0300 Ph: (318) 927-6777 | 104 Morris Cir Homer LA 71040-2100 Ph: (318) 927-6777 |
NPI Number | 1033175906 |
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Provider Enumeration Date | 04/21/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033175906 | NPI | - | NPPES |
1443620 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 018524 (Louisiana) | Primary |
Pelican Pediatrics, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 911 W Main St, Suite C, Homer, LA 71040 Phone: 318-927-3255 Fax: 318-927-3257 | |
Cw Outreach Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4229 Us-79, Homer, LA 71040 Phone: 318-523-4103 | |
Homer Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 912 W Main St, Homer, LA 71040 Phone: 318-927-3571 | |
Divinity Healthcare Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 W 2nd St, Homer, LA 71040 Phone: 318-265-4542 Fax: 318-550-4271 | |