Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 616 Court St, Oberlin, Louisiana |
Authorized Official Name and Position | Kirk Soileau (CEO) |
Authorized Official Contact | 3182153225 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 629 Oakdale LA 71463-0629 Ph: (337) 639-4390 | 616 Court St Oberlin LA 70655 Ph: (337) 639-4390 |
NPI Number | 1770686149 |
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Provider Enumeration Date | 09/07/2006 |
Last Update Date | 12/15/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770686149 | NPI | - | NPPES |
1458554 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7340 La-26 West, Oberlin, LA 70655 Phone: 337-639-4353 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 W 5th Ave, Oberlin, LA 70655 Phone: 833-784-2669 Fax: 844-784-2329 | |
Swla Center For Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 112 N. Sixth Street, Oberlin, LA 70655 Phone: 337-639-2281 Fax: 337-639-6199 |