| I D Medical Associates Llc | |
|
1119 Prudhomme Cir Opelousas LA 70570-6544 | |
| (337) 407-1955 | |
| (337) 407-1956 |
| Full Name | I D Medical Associates Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1119 Prudhomme Cir, Opelousas, Louisiana |
| Authorized Official Name and Position | Vitalis C Okechukwu (OWNER OPERATOR) |
| Authorized Official Contact | 3374071955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| I D Medical Associates Llc 1119 Prudhomme Cir Opelousas LA 70570-6544 Ph: (337) 407-1955 | I D Medical Associates Llc 1119 Prudhomme Cir Opelousas LA 70570-6544 Ph: (337) 407-1955 |
| NPI Number | 1962423848 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962423848 | NPI | - | NPPES |
| 1 07409 8 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 15601R (Louisiana) | Primary |
Opelousas General Health System Physician Practices Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 827 N Union St, Opelousas, LA 70570 Phone: 337-948-1802 Fax: 337-942-9074 | |
Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3921 I 49 S Service Rd, Opelousas, LA 70570 Phone: 337-942-5706 Fax: 337-942-2644 | |
Southwest Louisiana Primary Health Care Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8762 Highway 182, Opelousas, LA 70570 Phone: 337-942-2005 Fax: 337-942-8644 | |
Alan J Sonsky Md Apmc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3975 I49 South Service Road, Suite 230, Opelousas, LA 70570 Phone: 337-948-7040 | |
Metoyer Medical Corporation Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 204 W North St, Opelousas, LA 70570 Phone: 337-948-4445 Fax: 337-948-1118 | |
Loyd H Boulet Jr Md A Professional Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1270 Attakapas Dr, Opelousas, LA 70570 Phone: 337-942-6324 | |
Ochsner Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3975 I 49 S Service Rd Ste 205-a, Opelousas, LA 70570 Phone: 337-942-1151 Fax: 337-678-3339 |