| East Carroll Medical Clinic | |
|
76 Hood St Lake Providence LA 71254-2662 | |
| (318) 559-2296 | |
| (318) 559-6652 |
| Full Name | East Carroll Medical Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 76 Hood St, Lake Providence, Louisiana |
| Authorized Official Name and Position | Dewana Little (ADMINISTRATOR) |
| Authorized Official Contact | 3184283237 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Carroll Medical Clinic 706 Ross St Oak Grove LA 71263-9798 Ph: (318) 559-2296 | East Carroll Medical Clinic 76 Hood St Lake Providence LA 71254-2662 Ph: (318) 559-2296 |
| NPI Number | 1902889892 |
|---|---|
| Provider Enumeration Date | 11/23/2005 |
| Last Update Date | 03/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902889892 | NPI | - | NPPES |
| 1446530 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Louisiana) | Primary |
Family Medical Clinic-behavioral Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Scarborough St, Lake Providence, LA 71254 Phone: 318-231-5010 Fax: 318-231-5011 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Morgan St, Lake Providence, LA 71254 Phone: 833-784-2669 Fax: 844-784-2329 | |
Family Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 326 N Hood St, Lake Providence, LA 71254 Phone: 318-559-4024 Fax: 318-559-4025 | |
Lake Providence Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 319 N Hood St, Lake Providence, LA 71254 Phone: 318-559-1221 Fax: 318-559-3321 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 1st St, Lake Providence, LA 71254 Phone: 318-559-2800 | |
East Carroll Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 340 N Hood St, Lake Providence, LA 71254 Phone: 318-559-2404 Fax: 318-559-1772 |