| Haven Rehabilitation Center Inc | |
|
7726 Us Hwy 165 Columbia LA 71418-7726 | |
| (318) 649-9809 | |
| (318) 649-9825 |
| Full Name | Haven Rehabilitation Center Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 7726 Us Hwy 165, Columbia, Louisiana |
| Authorized Official Name and Position | Jennifer A Donalies (BUSINESS OFFICE/AR) |
| Authorized Official Contact | 3186499809 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Rehabilitation Center Inc 7726 Us Hwy 165 Columbia LA 71418-7726 Ph: (318) 649-9809 | Haven Rehabilitation Center Inc 7726 Us Hwy 165 Columbia LA 71418-7726 Ph: (318) 649-9809 |
| NPI Number | 1558345215 |
|---|---|
| Provider Enumeration Date | 12/05/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558345215 | NPI | - | NPPES |
| 1987204 | Medicaid | LA | |
| B2150 | Other | LA | BC/BS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 010703001898 (Louisiana) | Primary |
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Columbia Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7937 Highway 165, Columbia, LA 71418 Phone: 318-649-2621 | |
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