Iowa Medical Clinic, Llc | |
621 E Miller Ave Iowa LA 70647-4008 | |
(337) 302-7955 | |
Not Available |
Full Name | Iowa Medical Clinic, Llc |
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Speciality | Family Medicine |
Location | 621 E Miller Ave, Iowa, Louisiana |
Authorized Official Name and Position | Amy Guidry (FNP-BC) |
Authorized Official Contact | 3373582601 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Iowa Medical Clinic, Llc 621 E Miller Ave Iowa LA 70647-4008 Ph: (337) 302-7955 | Iowa Medical Clinic, Llc 621 E Miller Ave Iowa LA 70647-4008 Ph: (337) 302-7955 |
NPI Number | 1205419405 |
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Provider Enumeration Date | 05/04/2021 |
Last Update Date | 07/13/2021 |
Medicare PECOS PAC ID | 2264834936 |
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Medicare Enrollment ID | O20210719000522 |
Identifier | Type | State | Issuer |
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1205419405 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Dedra M Williams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033694955 PECOS PAC ID: 1850703331 Enrollment ID: I20201208001594 |
Provider Name | Amy Cathleen Guidry |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497340343 PECOS PAC ID: 6608278387 Enrollment ID: I20210719000689 |
Provider Name | Brennan Bergeron |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982370045 PECOS PAC ID: 8628468089 Enrollment ID: I20211130000611 |
Iowa Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 203b E Miller Ave, Iowa, LA 70647 Phone: 337-582-7632 Fax: 337-582-7656 | |
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 |