Greenwell Medical Clinic Llc Dba North Point Family Health | |
18901 Greenwell Springs Rd Greenwell Springs LA 70739-4836 | |
(225) 924-9985 | |
(225) 924-0884 |
Full Name | Greenwell Medical Clinic Llc Dba North Point Family Health |
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Speciality | Family Medicine |
Location | 18901 Greenwell Springs Rd, Greenwell Springs, Louisiana |
Authorized Official Name and Position | Robert Kyle Dean (PHYSICIAN) |
Authorized Official Contact | 2259249985 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Greenwell Medical Clinic Llc Dba North Point Family Health 18901 Greenwell Springs Rd Greenwell Springs LA 70739-4836 Ph: (225) 924-9985 | Greenwell Medical Clinic Llc Dba North Point Family Health 18901 Greenwell Springs Rd Greenwell Springs LA 70739-4836 Ph: (225) 924-9985 |
NPI Number | 1992896484 |
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Provider Enumeration Date | 09/27/2006 |
Last Update Date | 09/04/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992896484 | NPI | - | NPPES |
1695467 | Medicaid | LA | |
1103039 | Medicaid | LA | |
1321460 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 11621R (Louisiana) | Primary |
207Q00000X | Family Medicine | 05798R (Louisiana) | Secondary |
208D00000X | General Practice | 10977 (Louisiana) | Secondary |
Choices Family Clinic (fqhc) Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6681 Sullivan Rd, Suite Number C, Greenwell Springs, LA 70739 Phone: 225-261-0160 | |
Choices Family Medical Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6685 Sullivan Rd, Greenwell Springs, LA 70739 Phone: 800-256-3947 Fax: 800-609-1694 |