| |
300 Scarborough St Lake Providence LA 71254-3018 | |
(318) 231-5010 | |
(318) 231-5011 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 300 Scarborough St, Lake Providence, Louisiana |
Authorized Official Name and Position | Ladonna Englerth (ADMINISTRATOR) |
Authorized Official Contact | 3185594023 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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300 Scarborough St Lake Providence LA 71254-3018 Ph: (318) 559-4024 | 300 Scarborough St Lake Providence LA 71254-3018 Ph: (318) 231-5010 |
NPI Number | 1508603168 |
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Provider Enumeration Date | 07/11/2024 |
Last Update Date | 10/17/2024 |
Identifier | Type | State | Issuer |
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1508603168 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 1st St, Lake Providence, LA 71254 Phone: 318-559-2800 | |