| Communitas Primary Care St James | |
|
998 Stanford Ave Apt 305 Baton Rouge LA 70808-3665 | |
| (713) 703-9910 | |
| Not Available |
| Full Name | Communitas Primary Care St James |
|---|---|
| Speciality | Clinic/Center |
| Location | 998 Stanford Ave Apt 305, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Landon Roussel (OWNER) |
| Authorized Official Contact | 7137039910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Communitas Primary Care St James 10900 Highway 3125 Ste F Lutcher LA 70071-5639 Ph: (225) 283-4457 | Communitas Primary Care St James 998 Stanford Ave Apt 305 Baton Rouge LA 70808-3665 Ph: (713) 703-9910 |
| NPI Number | 1619409141 |
|---|---|
| Provider Enumeration Date | 04/03/2017 |
| Last Update Date | 04/03/2017 |
| Medicare PECOS PAC ID | 4880970151 |
|---|---|
| Medicare Enrollment ID | O20170421000952 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619409141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD.207273 (Louisiana) | Primary |
| Provider Name | Adrienne Jenkins Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972129195 PECOS PAC ID: 7214356518 Enrollment ID: I20201007000013 |
Charlie H Bridges Md, Facs Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7777 Hennessy Blvd Ste 608, Baton Rouge, LA 70808 Phone: 225-767-0394 Fax: 225-767-3904 | |
Venus/neuropathy Treatment Centers Of La,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3233 S Sherwood Forest Blvd, Suite110, Baton Rouge, LA 70816 Phone: 225-636-5184 Fax: 225-636-5185 | |
St. Gabriel - Innovation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7800 Innovation Dr, Baton Rouge, LA 70820 Phone: 225-642-9676 Fax: 225-642-9696 | |
Central Community School District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13421 Hooper Rd, Baton Rouge, LA 70818 Phone: 225-262-1919 | |
Deekay Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3923 Convention St, Baton Rouge, LA 70806 Phone: 225-381-6478 | |
Total Family Healthcare, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4336 North Blvd, Suite 103, Baton Rouge, LA 70806 Phone: 225-383-3187 Fax: 225-383-3190 | |
3c&l Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4720 Bluebonnet Blvd Ste B, Baton Rouge, LA 70809 Phone: 225-256-7219 |