Healthremede | |
13466 Vera Mcgowan Rd Walker LA 70785-8508 | |
(225) 380-1720 | |
(225) 380-1719 |
Full Name | Healthremede |
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Speciality | Clinic/Center |
Location | 13466 Vera Mcgowan Rd, Walker, Louisiana |
Authorized Official Name and Position | Brad W Frick (MANAGING MEMBER) |
Authorized Official Contact | 2253801720 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Healthremede 13466 Vera Mcgowan Rd Walker LA 70785-8508 Ph: (225) 380-1720 | Healthremede 13466 Vera Mcgowan Rd Walker LA 70785-8508 Ph: (225) 380-1720 |
NPI Number | 1902280258 |
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Provider Enumeration Date | 07/16/2015 |
Last Update Date | 06/07/2019 |
Medicare PECOS PAC ID | 6204130321 |
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Medicare Enrollment ID | O20160210002616 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902280258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Secondary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Jimmy Guidry |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1548253016 PECOS PAC ID: 0446340723 Enrollment ID: I20071227000138 |
Provider Name | Amanda G Easley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659771616 PECOS PAC ID: 5799078648 Enrollment ID: I20160729000888 |
Provider Name | Michael Joseph Miller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710519145 PECOS PAC ID: 9739517327 Enrollment ID: I20200313000508 |
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