| Family Medical Clinic-behavioral Health | |
|
300 Scarborough St Lake Providence LA 71254-3018 | |
| (318) 231-5010 | |
| (318) 231-5011 |
| Full Name | Family Medical Clinic-behavioral Health |
|---|---|
| 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 |
|---|---|
| Family Medical Clinic-behavioral Health 300 Scarborough St Lake Providence LA 71254-3018 Ph: (318) 559-4024 | Family Medical Clinic-behavioral Health 300 Scarborough St Lake Providence LA 71254-3018 Ph: (318) 231-5010 |
| NPI Number | 1508603168 |
|---|---|
| Provider Enumeration Date | 07/11/2024 |
| Last Update Date | 10/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508603168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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