| |
147 Central Ave Reserve LA 70084-6001 | |
(985) 536-2605 | |
(985) 536-8388 |
Full Name | |
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Speciality | Family Medicine |
Location | 147 Central Ave, Reserve, Louisiana |
Authorized Official Name and Position | Robert C Albrecht (SOLE PROPRIETOR / OWNER) |
Authorized Official Contact | 9855362605 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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147 Central Ave Reserve LA 70084-6001 Ph: (985) 536-2605 | 147 Central Ave Reserve LA 70084-6001 Ph: (985) 536-2605 |
NPI Number | 1982703575 |
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Provider Enumeration Date | 09/21/2006 |
Last Update Date | 06/18/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982703575 | NPI | - | NPPES |
1527301 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 008439 (Louisiana) | Primary |
Family Medicine Center Of Reserve Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 147 Central Ave, Reserve, LA 70084 Phone: 985-536-2605 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1342 Highway 44, Reserve, LA 70084 Phone: 833-784-2669 Fax: 844-784-2329 |