| Desoto Regional Family Medicine-mansfield | |
|
130 Jefferson St Mansfield LA 71052-2602 | |
| (318) 872-2700 | |
| (318) 872-6214 |
| Full Name | Desoto Regional Family Medicine-mansfield |
|---|---|
| Speciality | Clinic/Center |
| Location | 130 Jefferson St, Mansfield, Louisiana |
| Authorized Official Name and Position | Hallie Deutsch (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3188713101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desoto Regional Family Medicine-mansfield 130 Jefferson St Mansfield LA 71052-2602 Ph: (318) 872-2700 | Desoto Regional Family Medicine-mansfield 130 Jefferson St Mansfield LA 71052-2602 Ph: (318) 872-2700 |
| NPI Number | 1043580624 |
|---|---|
| Provider Enumeration Date | 01/12/2012 |
| Last Update Date | 05/04/2020 |
| Medicare PECOS PAC ID | 2163321829 |
|---|---|
| Medicare Enrollment ID | O20120112000859 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043580624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 229RHC-3 (Louisiana) | Primary |
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 |