| Desoto Healthcare Center Inc. | |
|
938 Louise St Mansfield LA 71052 | |
| (318) 871-1633 | |
| (318) 871-1677 |
| Full Name | Desoto Healthcare Center Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 938 Louise St, Mansfield, Louisiana |
| Authorized Official Name and Position | Connie B Gannon (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 3188711633 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desoto Healthcare Center Inc. Po Box 1384 Mansfield LA 71052-1384 Ph: (318) 871-1633 | Desoto Healthcare Center Inc. 938 Louise St Mansfield LA 71052 Ph: (318) 871-1633 |
| NPI Number | 1811209232 |
|---|---|
| Provider Enumeration Date | 07/14/2010 |
| Last Update Date | 12/23/2011 |
| Medicare PECOS PAC ID | 0446444392 |
|---|---|
| Medicare Enrollment ID | O20101104000495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811209232 | NPI | - | NPPES |
| 2117629 | Medicaid | LA |
| Provider Name | Jeffery F Foss |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1821027202 PECOS PAC ID: 3072506690 Enrollment ID: I20040407001219 |
| Provider Name | Detries R Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861583874 PECOS PAC ID: 0244424117 Enrollment ID: I20101118000703 |
Desoto Regional Family Medicine - Mansfield Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 Jefferson St, Mansfield, LA 71052 Phone: 318-872-2700 Fax: 318-872-6214 | |
Desoto Regional Family Medicine-mansfield Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 Jefferson St, Mansfield, LA 71052 Phone: 318-872-2700 Fax: 318-872-6214 | |
Casse Community Health Institute Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 907 Polk St, Mansfield, LA 71052 Phone: 318-872-1015 Fax: 318-872-1055 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Franklin St, Mansfield, LA 71052 Phone: 318-872-3956 | |
Casse/community Health Institute Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 907 Polk St, Mansfield, LA 71052 Phone: 318-872-1015 Fax: 318-872-1055 | |
Community Health Institute Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 907 Polk St, Mansfield, LA 71052 Phone: 318-872-1015 Fax: 318-872-1055 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Adams St, Mansfield, LA 71052 Phone: 833-784-2669 Fax: 844-784-2329 |