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504 West Main Oakdale LA 70638-0001 | |
(318) 634-5475 | |
(318) 634-5161 |
Full Name | |
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Speciality | Clinic/Center |
Location | 504 West Main, Oakdale, Louisiana |
Authorized Official Name and Position | Suzette Fatula (ASST. CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 3182153223 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 629 Oakdale LA 71463-0629 Ph: (318) 335-3700 | 504 West Main Oakdale LA 70638-0001 Ph: (318) 634-5475 |
NPI Number | 1205930450 |
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Provider Enumeration Date | 09/09/2006 |
Last Update Date | 05/12/2020 |
Medicare PECOS PAC ID | 1355623943 |
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Medicare Enrollment ID | O20170112002739 |
Identifier | Type | State | Issuer |
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1205930450 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Mary Gauthier |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1548821861 PECOS PAC ID: 2365983269 Enrollment ID: I20240918004684 |
Nesom Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 E 6th Ave, Oakdale, LA 71463 Phone: 318-335-4881 Fax: 318-335-4544 | |
Chaftari Medical Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 Hospital Dr, Oakdale, LA 71463 Phone: 318-215-0020 | |
Health Enrichment Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 713 E 7th Ave, Oakdale, LA 71463 Phone: 318-335-2112 Fax: 318-215-0613 | |