Coullion Care Partners Pllc | |
526 Valmont St New Orleans LA 70115-1943 | |
(970) 376-2129 | |
Not Available |
Full Name | Coullion Care Partners Pllc |
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Speciality | Internal Medicine |
Location | 526 Valmont St, New Orleans, Louisiana |
Authorized Official Name and Position | Jay St. John (OWNER) |
Authorized Official Contact | 9703762129 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Coullion Care Partners Pllc 526 Valmont St New Orleans LA 70115-1943 Ph: (970) 376-2129 | Coullion Care Partners Pllc 526 Valmont St New Orleans LA 70115-1943 Ph: (970) 376-2129 |
NPI Number | 1932663754 |
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Provider Enumeration Date | 01/25/2019 |
Last Update Date | 01/25/2019 |
Medicare PECOS PAC ID | 6709124845 |
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Medicare Enrollment ID | O20190214001430 |
Identifier | Type | State | Issuer |
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1932663754 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Lisa D Craft |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699883603 PECOS PAC ID: 4082706916 Enrollment ID: I20070823000669 |
Provider Name | Jay St. John |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578820619 PECOS PAC ID: 9032349956 Enrollment ID: I20170726000576 |
Provider Name | Melanie A Powell |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1821344904 PECOS PAC ID: 2668781006 Enrollment ID: I20170817003126 |
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