Iowa Health Center | |
203b E Miller Ave Iowa LA 70647-4052 | |
(337) 582-7632 | |
(337) 582-7656 |
Full Name | Iowa Health Center |
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Speciality | Clinic/Center |
Location | 203b E Miller Ave, Iowa, Louisiana |
Authorized Official Name and Position | Dawn Johnson-hatcher (CFO) |
Authorized Official Contact | 3374942094 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Iowa Health Center Po Box 123604 Dept 3604 Dallas TX 75312-3604 Ph: (337) 494-2921 | Iowa Health Center 203b E Miller Ave Iowa LA 70647-4052 Ph: (337) 582-7632 |
NPI Number | 1134271497 |
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Provider Enumeration Date | 01/17/2007 |
Last Update Date | 07/18/2022 |
Medicare PECOS PAC ID | 1456315050 |
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Medicare Enrollment ID | O20051013000887 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134271497 | NPI | - | NPPES |
1944408 | Medicaid | LA | |
NB3516 | Other | LA | BCBS |
080129756 | Other | LA | RAILROAD MEDICARE |
1946249 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 12517 (Louisiana) | Secondary |
261QR1300X | Clinic/center - Rural Health | 12517 (Louisiana) | Primary |
Provider Name | Karen M Whitehead |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952475717 PECOS PAC ID: 7315962727 Enrollment ID: I20051013000804 |
Provider Name | Kenneth W Leger |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1932543915 PECOS PAC ID: 1759684632 Enrollment ID: I20170810002974 |
Iowa Medical Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 621 E Miller Ave, Iowa, LA 70647 Phone: 337-302-7955 | |
Imperial Health, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 607 N Thomson Ave, Iowa, LA 70647 Phone: 337-582-5555 Fax: 337-582-5570 |