| Dcs Family Health Clinic | |
|
19100 Dr John Lambert Dr Hammond LA 70403-0922 | |
| (985) 247-4567 | |
| (985) 467-0896 |
| Full Name | Dcs Family Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 19100 Dr John Lambert Dr, Hammond, Louisiana |
| Authorized Official Name and Position | Shannon Denise Bagnet-finley (OWNER) |
| Authorized Official Contact | 9856871557 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dcs Family Health Clinic 19100 Dr John Lambert Dr Hammond LA 70403-0922 Ph: (985) 247-4567 | Dcs Family Health Clinic 19100 Dr John Lambert Dr Hammond LA 70403-0922 Ph: (985) 247-4567 |
| NPI Number | 1245509975 |
|---|---|
| Provider Enumeration Date | 12/27/2011 |
| Last Update Date | 12/19/2016 |
| Medicare PECOS PAC ID | 1759546260 |
|---|---|
| Medicare Enrollment ID | O20120709000395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245509975 | NPI | - | NPPES |
| 2198157 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Louisiana) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (Louisiana) | Primary |
| Provider Name | Chenika H Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265850572 PECOS PAC ID: 3870817117 Enrollment ID: I20150115001035 |
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