| Jeanerette Rural Health Clinic | |
|
217 Bourg St Jeanerette LA 70544-3503 | |
| (337) 276-7002 | |
| (337) 276-3700 |
| Full Name | Jeanerette Rural Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 217 Bourg St, Jeanerette, Louisiana |
| Authorized Official Name and Position | Dionne Viator (CFO/INTERIM CEO) |
| Authorized Official Contact | 3373747107 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanerette Rural Health Clinic 217 Bourg St Jeanerette LA 70544-3503 Ph: (337) 276-7002 | Jeanerette Rural Health Clinic 217 Bourg St Jeanerette LA 70544-3503 Ph: (337) 276-7002 |
| NPI Number | 1518935220 |
|---|---|
| Provider Enumeration Date | 03/09/2006 |
| Last Update Date | 11/01/2019 |
| Medicare PECOS PAC ID | 4688659188 |
|---|---|
| Medicare Enrollment ID | O20071203000246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518935220 | NPI | - | NPPES |
| 11212 | Other | LA | BLUE CROSS |
| 1944637 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 052 (Louisiana) | Primary |
James Falterman, Md, Amc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1411 Church St, Jeanerette, LA 70544 Phone: 337-276-6374 Fax: 337-276-5815 | |
Stephen A Boudreaux Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2716 Main St, Jeanerette, LA 70544 Phone: 337-276-5012 Fax: 337-276-9378 | |
Bourgeois Family Medicine Clinic A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1409 Church St, Jeanerette, LA 70544 Phone: 337-276-6018 Fax: 337-276-9507 |