Jena Band Of Choctaw Indians | |
1018 Chata Yakni Street Trout LA 71371 | |
(318) 992-2763 | |
Not Available |
Full Name | Jena Band Of Choctaw Indians |
---|---|
Speciality | Family Medicine |
Location | 1018 Chata Yakni Street, Trout, Louisiana |
Authorized Official Name and Position | Christy Murphy (TRIBAL ADMINISTRATOR) |
Authorized Official Contact | 3189922717 |
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) 992-2717 | Jena Band Of Choctaw Indians 1018 Chata Yakni Street Trout LA 71371 Ph: (318) 992-2763 |
NPI Number | 1942751201 |
---|---|
Provider Enumeration Date | 10/20/2016 |
Last Update Date | 10/20/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942751201 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Jena Band Of Choctaw Indians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1052 Chanaha Hina St, Trout, LA 71371 Phone: 318-992-2727 Fax: 318-992-4162 |