| J.i. Barron Elementary School Based Clinic | |
|
3655 Trinity Church Rd Pineville LA 71360-5406 | |
| (318) 648-0375 | |
| Not Available |
| Full Name | J.i. Barron Elementary School Based Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 3655 Trinity Church Rd, Pineville, Louisiana |
| Authorized Official Name and Position | David Adams (COO) |
| Authorized Official Contact | 3186480375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J.i. Barron Elementary School Based Clinic Po Box 1288 Winnfield LA 71483-1288 Ph: (318) 209-4910 | J.i. Barron Elementary School Based Clinic 3655 Trinity Church Rd Pineville LA 71360-5406 Ph: (318) 648-0375 |
| NPI Number | 1619597143 |
|---|---|
| Provider Enumeration Date | 04/24/2020 |
| Last Update Date | 04/27/2020 |
| Medicare PECOS PAC ID | 2567516545 |
|---|---|
| Medicare Enrollment ID | O20200715000538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619597143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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