Jena Band Of Choctaw Indians | |
1052 Chanaha Hina St Trout LA 71371-3043 | |
(318) 992-2727 | |
(318) 992-4162 |
Full Name | Jena Band Of Choctaw Indians |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 1052 Chanaha Hina St, Trout, Louisiana |
Authorized Official Name and Position | Holly L Vanhoozen (HEALTH DIRECTOR/ADMINISTRATOR) |
Authorized Official Contact | 3189922727 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jena Band Of Choctaw Indians Po Box 14 Jena LA 71342-0014 Ph: (318) 992-2727 | Jena Band Of Choctaw Indians 1052 Chanaha Hina St Trout LA 71371-3043 Ph: (318) 992-2727 |
NPI Number | 1871966218 |
---|---|
Provider Enumeration Date | 11/06/2015 |
Last Update Date | 11/06/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871966218 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Jena Band Of Choctaw Indians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1018 Chata Yakni Street, Trout, LA 71371 Phone: 318-992-2763 |