East Carroll Medical Clinic | |
340 N Hood St Lake Providence LA 71254-2140 | |
(318) 559-2404 | |
(318) 559-1772 |
Full Name | East Carroll Medical Clinic |
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Speciality | Clinic/Center |
Location | 340 N Hood St, Lake Providence, Louisiana |
Authorized Official Name and Position | Lindsay Layton (CLINIC & CENTRAL BILLING DIRECTOR) |
Authorized Official Contact | 3185593303 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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East Carroll Medical Clinic 340 N Hood St Lake Providence LA 71254-2140 Ph: (318) 559-2404 | East Carroll Medical Clinic 340 N Hood St Lake Providence LA 71254-2140 Ph: (318) 559-2404 |
NPI Number | 1902885650 |
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Provider Enumeration Date | 01/11/2006 |
Last Update Date | 03/23/2022 |
Medicare PECOS PAC ID | 1153216619 |
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Medicare Enrollment ID | O20100506000580 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902885650 | NPI | - | NPPES |
1947873 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Family Medical Clinic-behavioral Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Scarborough St, Lake Providence, LA 71254 Phone: 318-231-5010 Fax: 318-231-5011 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Morgan St, Lake Providence, LA 71254 Phone: 833-784-2669 Fax: 844-784-2329 | |
Family Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 326 N Hood St, Lake Providence, LA 71254 Phone: 318-559-4024 Fax: 318-559-4025 | |
Lake Providence Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 319 N Hood St, Lake Providence, LA 71254 Phone: 318-559-1221 Fax: 318-559-3321 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 1st St, Lake Providence, LA 71254 Phone: 318-559-2800 | |
East Carroll Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 76 Hood St, Lake Providence, LA 71254 Phone: 318-559-2296 Fax: 318-559-6652 |