Minden Primary Care | |
1111 Homer Rd Minden LA 71055-3027 | |
(318) 377-7500 | |
(318) 371-3594 |
Full Name | Minden Primary Care |
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Speciality | Clinic/Center |
Location | 1111 Homer Rd, Minden, Louisiana |
Authorized Official Name and Position | Richard T. Merk (OFFICER/AUTHORIZED OFFICIAL) |
Authorized Official Contact | 3182268202 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Minden Primary Care 1111 Homer Rd Minden LA 71055-3027 Ph: (318) 377-7500 | Minden Primary Care 1111 Homer Rd Minden LA 71055-3027 Ph: (318) 377-7500 |
NPI Number | 1699834473 |
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Provider Enumeration Date | 12/07/2006 |
Last Update Date | 08/19/2020 |
Medicare PECOS PAC ID | 2567417850 |
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Medicare Enrollment ID | O20050321000078 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699834473 | NPI | - | NPPES |
1043630 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Robert R Brown |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487610879 PECOS PAC ID: 6204888720 Enrollment ID: I20050214000101 |
Provider Name | Regina S Willis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306904412 PECOS PAC ID: 0143221002 Enrollment ID: I20070122000083 |
Provider Name | Carla J Stephens |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669800397 PECOS PAC ID: 3173752169 Enrollment ID: I20140218000371 |
Provider Name | Adrian Pavlick |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750647376 PECOS PAC ID: 3779898887 Enrollment ID: I20150819007201 |
Provider Name | Brenda Hawkins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831641448 PECOS PAC ID: 4486936580 Enrollment ID: I20170125002385 |
Lemlo Medical Corporation, Apmc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Homer Rd, Minden, LA 71055 Phone: 318-382-1976 Fax: 318-377-9869 | |
Minden Internal Medicine & Pediatrics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Office Park Dr, Minden, LA 71055 Phone: 318-377-2979 Fax: 318-377-2596 | |
Minden Ladies Rural Health Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 427 Homer Rd, Minden, LA 71055 Phone: 318-377-8855 Fax: 318-377-8804 | |
Cordova Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Medical Plaza Pl, Minden, LA 71055 Phone: 318-377-6500 Fax: 318-377-6503 | |
Minden Family Care Center, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 208 Morris Dr, Minden, LA 71055 Phone: 318-377-8260 Fax: 318-377-9053 | |
David Raines Community Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 128 Homer Rd, Minden, LA 71055 Phone: 318-377-1545 Fax: 318-377-1504 | |
Workfit Industrial Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 N Monroe St, Ste B, Minden, LA 71055 Phone: 318-382-4900 |