Claiborne Clinical Services | |
831 W Main St Homer LA 71040-3322 | |
(888) 505-1989 | |
(318) 404-1956 |
Full Name | Claiborne Clinical Services |
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Speciality | General Practice |
Location | 831 W Main St, Homer, Louisiana |
Authorized Official Name and Position | John S Bannister (DIRECTOR) |
Authorized Official Contact | 8885051989 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Claiborne Clinical Services Po Box 729 Benton LA 71006-0729 Ph: (888) 505-1989 | Claiborne Clinical Services 831 W Main St Homer LA 71040-3322 Ph: (888) 505-1989 |
NPI Number | 1730725003 |
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Provider Enumeration Date | 11/21/2019 |
Last Update Date | 07/23/2024 |
Medicare PECOS PAC ID | 6002240868 |
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Medicare Enrollment ID | O20200102002218 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730725003 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Joel Jones |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194783472 PECOS PAC ID: 7517943327 Enrollment ID: I20200917000064 |
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