| Inclusivcare | |
|
2552 Williams Blvd Kenner LA 70062-5538 | |
| (504) 437-8523 | |
| (504) 436-3665 |
| Full Name | Inclusivcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 2552 Williams Blvd, Kenner, Louisiana |
| Authorized Official Name and Position | Joelle M Jessie Skinner (BILLING SPECIALIST) |
| Authorized Official Contact | 5044378523 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inclusivcare Po Box 2490 Marrero LA 70073-2490 Ph: (504) 371-8958 | Inclusivcare 2552 Williams Blvd Kenner LA 70062-5538 Ph: (504) 437-8523 |
| NPI Number | 1962997569 |
|---|---|
| Provider Enumeration Date | 06/26/2018 |
| Last Update Date | 07/17/2023 |
| Medicare PECOS PAC ID | 7911961115 |
|---|---|
| Medicare Enrollment ID | O20180816000266 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962997569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Louisiana) | Primary |
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