Guardian Health Clinic, Llc | |
115 Christian Dr Rayville LA 71269-3658 | |
(318) 728-4400 | |
Not Available |
Full Name | Guardian Health Clinic, Llc |
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Speciality | Clinic/Center |
Location | 115 Christian Dr, Rayville, Louisiana |
Authorized Official Name and Position | Ashley Morris (MANAGER) |
Authorized Official Contact | 3187284400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Guardian Health Clinic, Llc Po Box 837 Rayville LA 71269-0837 Ph: () - | Guardian Health Clinic, Llc 115 Christian Dr Rayville LA 71269-3658 Ph: (318) 728-4400 |
NPI Number | 1437681178 |
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Provider Enumeration Date | 03/31/2017 |
Last Update Date | 05/10/2017 |
Medicare PECOS PAC ID | 5294002598 |
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Medicare Enrollment ID | O20170516002583 |
Identifier | Type | State | Issuer |
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1437681178 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Ralph L Abraham |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013962620 PECOS PAC ID: 4587550892 Enrollment ID: I20100716000166 |
Provider Name | Euil Eugene Luther |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407869183 PECOS PAC ID: 4082738257 Enrollment ID: I20100825001000 |
Provider Name | Jessica Hagan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265039366 PECOS PAC ID: 6406276328 Enrollment ID: I20201014003922 |
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