| Combre-fondel Elementary Sbhc | |
|
2115 Fitzenreiter Rd Lake Charles LA 70601-1139 | |
| (337) 439-0880 | |
| (337) 439-0887 |
| Full Name | Combre-fondel Elementary Sbhc |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 2115 Fitzenreiter Rd, Lake Charles, Louisiana |
| Authorized Official Name and Position | Paul Trevino (CEO) |
| Authorized Official Contact | 4098998191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Combre-fondel Elementary Sbhc 524 Dr Michael Debakey Dr Lake Charles LA 70601-5725 Ph: (337) 439-0880 | Combre-fondel Elementary Sbhc 2115 Fitzenreiter Rd Lake Charles LA 70601-1139 Ph: (337) 439-0880 |
| NPI Number | 1093927105 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 07/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093927105 | NPI | - | NPPES |
| 1447749 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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Cardiovascular Outpatient Center Of Southwest Louisiana Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 Dr Michael Debakey Dr, Suite 300, Lake Charles, LA 70601 Phone: 337-602-9991 | |
Washington-marion Sbhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2802 Pineview St, Lake Charles, LA 70615 Phone: 337-217-4540 Fax: 337-439-5029 | |
Headache And Wellness Center Of Southwest Louisiana, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 803 W Bayou Pines Dr Ste B, Lake Charles, LA 70601 Phone: 337-508-2333 | |
Imperial Health, Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-433-8400 Fax: 337-312-6708 | |
Kndl Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4200 Nelson Rd, Lake Charles, LA 70605 Phone: 337-475-4748 Fax: 337-944-4421 |