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1305 Fourth St Ste A Jonesville LA 71343-2123 | |
(318) 403-6053 | |
(318) 403-6087 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1305 Fourth St Ste A, Jonesville, Louisiana |
Authorized Official Name and Position | Lauren King (CEO) |
Authorized Official Contact | 3184036080 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1305 Fourth St Jonesville LA 71343-2123 Ph: (318) 403-6080 | 1305 Fourth St Ste A Jonesville LA 71343-2123 Ph: (318) 403-6053 |
NPI Number | 1518570688 |
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Provider Enumeration Date | 08/28/2020 |
Last Update Date | 04/25/2024 |
Medicare PECOS PAC ID | 3971923079 |
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Medicare Enrollment ID | O20201012000414 |
Identifier | Type | State | Issuer |
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1518570688 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Lauren King |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154761351 PECOS PAC ID: 7911219928 Enrollment ID: I20150706001085 |
Provider Name | Evan Clifton Ashley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730833443 PECOS PAC ID: 5395122253 Enrollment ID: I20220513002024 |
Dr.william C. Coney Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 904 First St, Jonesville, LA 71343 Phone: 318-339-6162 Fax: 318-339-6719 | |
Catahoula Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2801 Fourth St, Jonesville, LA 71343 Phone: 318-792-8696 |