Cloud Pediatrics | |
5416 Highway 28 E Pineville LA 71360-4756 | |
(318) 452-1133 | |
Not Available |
Full Name | Cloud Pediatrics |
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Speciality | Clinic/Center |
Location | 5416 Highway 28 E, Pineville, Louisiana |
Authorized Official Name and Position | Mandie Cloud (OWNER) |
Authorized Official Contact | 3185457334 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cloud Pediatrics 5416 Highway 28 E Pineville LA 71360-4756 Ph: (318) 545-7334 | Cloud Pediatrics 5416 Highway 28 E Pineville LA 71360-4756 Ph: (318) 452-1133 |
NPI Number | 1982168829 |
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Provider Enumeration Date | 01/24/2019 |
Last Update Date | 12/30/2021 |
Medicare PECOS PAC ID | 0749522159 |
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Medicare Enrollment ID | O20190506001802 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982168829 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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