| Coushatta Tribe Of Louisiana | |
|
2003 C C Bel Rd Elton LA 70532-5318 | |
| (337) 584-1439 | |
| (337) 584-1473 |
| Full Name | Coushatta Tribe Of Louisiana |
|---|---|
| Speciality | Clinic/Center |
| Location | 2003 C C Bel Rd, Elton, Louisiana |
| Authorized Official Name and Position | Paula J. Manuel (HEALTH DIRECTOR) |
| Authorized Official Contact | 3375841439 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coushatta Tribe Of Louisiana 2003 C C Bel Rd Elton LA 70532-5318 Ph: (337) 584-1439 | Coushatta Tribe Of Louisiana 2003 C C Bel Rd Elton LA 70532-5318 Ph: (337) 584-1439 |
| NPI Number | 1336456029 |
|---|---|
| Provider Enumeration Date | 09/02/2010 |
| Last Update Date | 09/02/2010 |
| Medicare PECOS PAC ID | 1557540952 |
|---|---|
| Medicare Enrollment ID | O20110131000686 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336456029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Mary R Keller |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073702866 PECOS PAC ID: 5890828479 Enrollment ID: I20110131000726 |
Elton Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 907 Main Street, Elton, LA 70532 Phone: 337-584-2237 Fax: 337-584-2148 | |
Elton Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 907 Main St, Elton, LA 70532 Phone: 337-584-2237 Fax: 337-584-2148 | |
Coushatta Hd Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2003 C C Bel Rd, Elton, LA 70532 Phone: 337-584-1439 Fax: 337-584-1486 |