| Hardtner Medical Clinic | |
|
1049 North Pine Road Olla LA 71465 | |
| (318) 495-3880 | |
| (318) 495-3882 |
| Full Name | Hardtner Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1049 North Pine Road, Olla, Louisiana |
| Authorized Official Name and Position | Paul G Mathews (ADMINISTRATOR) |
| Authorized Official Contact | 3184953131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hardtner Medical Clinic 1049 N Pine Rd Olla LA 71465-4826 Ph: (318) 495-3880 | Hardtner Medical Clinic 1049 North Pine Road Olla LA 71465 Ph: (318) 495-3880 |
| NPI Number | 1053415745 |
|---|---|
| Provider Enumeration Date | 09/12/2006 |
| Last Update Date | 04/21/2023 |
| Medicare PECOS PAC ID | 6709781545 |
|---|---|
| Medicare Enrollment ID | O20050217000920 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053415745 | NPI | - | NPPES |
| 1449342 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 178RHC-1 (Louisiana) | Primary |
Kenneth P. Mauterer Md A Medical Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1148 N Pine Road, Olla, LA 71465 Phone: 318-495-3131 Fax: 318-495-3677 | |
Hardtner Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1102 North Pine Rd, Olla, LA 71465 Phone: 318-495-3131 | |
Hardtner Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1102 North Pine Rd, Olla, LA 71465 Phone: 318-495-3131 |