| Delhi Community School Based Center - Mangham | |
|
419 Hixon St Mangham LA 71259-5029 | |
| (318) 878-6499 | |
| Not Available |
| Full Name | Delhi Community School Based Center - Mangham |
|---|---|
| Speciality | Clinic/Center |
| Location | 419 Hixon St, Mangham, Louisiana |
| Authorized Official Name and Position | Barbara C Hutchinson (CEO) |
| Authorized Official Contact | 3188786163 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Delhi Community School Based Center - Mangham 407 Cincinnati St Delhi LA 71232-3007 Ph: (318) 878-6436 | Delhi Community School Based Center - Mangham 419 Hixon St Mangham LA 71259-5029 Ph: (318) 878-6499 |
| NPI Number | 1093459844 |
|---|---|
| Provider Enumeration Date | 04/26/2022 |
| Last Update Date | 01/12/2024 |
| Medicare PECOS PAC ID | 1456307230 |
|---|---|
| Medicare Enrollment ID | O20220516000826 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093459844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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