| Open Health Care Clinic | |
|
3905 Convention St Baton Rouge LA 70806-3806 | |
| (225) 655-6422 | |
| (225) 927-7367 |
| Full Name | Open Health Care Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3905 Convention St, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Suzanne Leblanc (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 2254241743 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Health Care Clinic 4550 North Blvd Ste 250 Baton Rouge LA 70806-4013 Ph: (225) 424-1743 | Open Health Care Clinic 3905 Convention St Baton Rouge LA 70806-3806 Ph: (225) 655-6422 |
| NPI Number | 1457974693 |
|---|---|
| Provider Enumeration Date | 05/22/2020 |
| Last Update Date | 06/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457974693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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