| Elton Rural Health Clinic | |
|
907 Main Street Elton LA 70532 | |
| (337) 584-2237 | |
| (337) 584-2148 |
| Full Name | Elton Rural Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 907 Main Street, Elton, Louisiana |
| Authorized Official Name and Position | Michael W. Johnson (PRESIDENT) |
| Authorized Official Contact | 3374680355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elton Rural Health Clinic 801 Poinciana Ave Mamou LA 70554-2243 Ph: (337) 468-5261 | Elton Rural Health Clinic 907 Main Street Elton LA 70532 Ph: (337) 584-2237 |
| NPI Number | 1306173810 |
|---|---|
| Provider Enumeration Date | 11/05/2009 |
| Last Update Date | 03/19/2019 |
| Medicare PECOS PAC ID | 1557403953 |
|---|---|
| Medicare Enrollment ID | O20100122000789 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306173810 | NPI | - | NPPES |
| 1947920 | Medicaid | LA | |
| 193977 | Other | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 149 (Louisiana) | Primary |
Elton Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 907 Main St, Elton, LA 70532 Phone: 337-584-2237 Fax: 337-584-2148 | |
Coushatta Tribe Of Louisiana Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2003 C C Bel Rd, Elton, LA 70532 Phone: 337-584-1439 Fax: 337-584-1473 | |
Coushatta Hd Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2003 C C Bel Rd, Elton, LA 70532 Phone: 337-584-1439 Fax: 337-584-1486 |