| Grambling State University | |
|
403 Main St Grambling LA 71245-2715 | |
| (318) 274-2351 | |
| Not Available |
| Full Name | Grambling State University |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 403 Main St, Grambling, Louisiana |
| Authorized Official Name and Position | Patrice Outley (DIRECTOR OF STUDENT HEALTH SERVICES) |
| Authorized Official Contact | 3182742351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grambling State University 403 Main St P.o. Box 4251 Grambling LA 71245-2715 Ph: (318) 274-2351 | Grambling State University 403 Main St Grambling LA 71245-2715 Ph: (318) 274-2351 |
| NPI Number | 1043648173 |
|---|---|
| Provider Enumeration Date | 10/29/2013 |
| Last Update Date | 10/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043648173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
Phsc-grambling Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7604 Hwy 80, Grambling, LA 71245 Phone: 318-388-1250 |