| Family First Medicine, Apmc | |
|
902 S Vienna St Ruston LA 71270-5830 | |
| (318) 513-1950 | |
| (318) 513-1952 |
| Full Name | Family First Medicine, Apmc |
|---|---|
| Speciality | Family Medicine |
| Location | 902 S Vienna St, Ruston, Louisiana |
| Authorized Official Name and Position | Jerry A Smith (OWNER) |
| Authorized Official Contact | 3185131950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family First Medicine, Apmc Po Box 2034 Ruston LA 71273-2034 Ph: (318) 513-1950 | Family First Medicine, Apmc 902 S Vienna St Ruston LA 71270-5830 Ph: (318) 513-1950 |
| NPI Number | 1992868327 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 07/31/2011 |
| Medicare PECOS PAC ID | 1951350131 |
|---|---|
| Medicare Enrollment ID | O20050114000020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992868327 | NPI | - | NPPES |
| 1448541 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 018988 (Louisiana) | Primary |
| Provider Name | Jerry A Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417996448 PECOS PAC ID: 7113917253 Enrollment ID: I20041216000122 |
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