Cap Care Clinic | |
761 Colonial Dr Baton Rouge LA 70806-6512 | |
(225) 926-9272 | |
Not Available |
Full Name | Cap Care Clinic |
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Speciality | Nurse Practitioner |
Location | 761 Colonial Dr, Baton Rouge, Louisiana |
Authorized Official Name and Position | Paulette Mcclain (NURSE PRACTITIONER) |
Authorized Official Contact | 2253057406 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Cap Care Clinic 761 Colonial Dr Baton Rouge LA 70806-6512 Ph: () - | Cap Care Clinic 761 Colonial Dr Baton Rouge LA 70806-6512 Ph: (225) 926-9272 |
NPI Number | 1215527452 |
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Provider Enumeration Date | 01/21/2021 |
Last Update Date | 06/04/2021 |
Medicare PECOS PAC ID | 6901212448 |
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Medicare Enrollment ID | O20210309001582 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215527452 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Primary |
Provider Name | Paulette Lee Mcclain |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477093391 PECOS PAC ID: 4981989373 Enrollment ID: I20170327002910 |
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