| Harrisonburg Family Health | |
|
307 Chisum St Sicily Island LA 71368-4807 | |
| (318) 389-5727 | |
| (318) 389-4028 |
| Full Name | Harrisonburg Family Health |
|---|---|
| Speciality | Family Medicine |
| Location | 307 Chisum St, Sicily Island, Louisiana |
| Authorized Official Name and Position | Debra K Miesch (CEO) |
| Authorized Official Contact | 3183895727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harrisonburg Family Health 302 Bushley St Harrisonburg LA 71340-1656 Ph: (318) 389-5727 | Harrisonburg Family Health 307 Chisum St Sicily Island LA 71368-4807 Ph: (318) 389-5727 |
| NPI Number | 1821459835 |
|---|---|
| Provider Enumeration Date | 03/18/2016 |
| Last Update Date | 05/09/2022 |
| Medicare PECOS PAC ID | 8729067434 |
|---|---|
| Medicare Enrollment ID | O20170915002716 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821459835 | NPI | - | NPPES |
| 1903191 | Medicaid | LA | |
| 10464 | Other | LA | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 018530 (Louisiana) | Primary |
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