| Iota Family Healthcare, Llc | |
|
119 South 5th Street Iota LA 70543 | |
| (337) 275-6915 | |
| Not Available |
| Full Name | Iota Family Healthcare, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 119 South 5th Street, Iota, Louisiana |
| Authorized Official Name and Position | Nicole Herbert Doucet (OWNER) |
| Authorized Official Contact | 3372756915 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iota Family Healthcare, Llc 119 S 5th St Iota LA 70543-6105 Ph: () - | Iota Family Healthcare, Llc 119 South 5th Street Iota LA 70543 Ph: (337) 275-6915 |
| NPI Number | 1326326950 |
|---|---|
| Provider Enumeration Date | 08/01/2011 |
| Last Update Date | 03/11/2021 |
| Medicare PECOS PAC ID | 1052573599 |
|---|---|
| Medicare Enrollment ID | O20120430000638 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326326950 | NPI | - | NPPES |
| 2364031 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Nicole H Doucet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174520035 PECOS PAC ID: 4880759315 Enrollment ID: I20090218000029 |
| Provider Name | Lisa R Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053777862 PECOS PAC ID: 7416255070 Enrollment ID: I20160414001057 |
| Provider Name | Ginger Fontenot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346693785 PECOS PAC ID: 1850657578 Enrollment ID: I20171114001529 |
| Provider Name | Katelyn Leblanc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275205262 PECOS PAC ID: 8527446400 Enrollment ID: I20220606000802 |