| Family Medicine Center Of Reserve | |
|
147 Central Ave Reserve LA 70084-6001 | |
| (985) 536-2605 | |
| Not Available |
| Full Name | Family Medicine Center Of Reserve |
|---|---|
| Speciality | Clinic/Center |
| Location | 147 Central Ave, Reserve, Louisiana |
| Authorized Official Name and Position | Cynthia Albrecht (SOLE OWNER) |
| Authorized Official Contact | 9855362605 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Center Of Reserve 147 Central Ave Reserve LA 70084-6001 Ph: (985) 536-2605 | Family Medicine Center Of Reserve 147 Central Ave Reserve LA 70084-6001 Ph: (985) 536-2605 |
| NPI Number | 1780341271 |
|---|---|
| Provider Enumeration Date | 11/19/2021 |
| Last Update Date | 11/19/2021 |
| Medicare PECOS PAC ID | 6608254982 |
|---|---|
| Medicare Enrollment ID | O20220714000536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780341271 | NPI | - | NPPES |
| Provider Name | Cynthia Albrecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780946996 PECOS PAC ID: 8921135088 Enrollment ID: I20120910000604 |
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Family Medicine Center Of Reserve Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 147 Central Ave, Reserve, LA 70084 Phone: 985-536-2605 Fax: 985-536-8388 |