| |
2801 Fourth St Ste 2 Jonesville LA 71343 | |
(318) 339-9901 | |
(318) 339-9903 |
Full Name | |
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Speciality | Clinic/Center |
Location | 2801 Fourth St Ste 2, Jonesville, Louisiana |
Authorized Official Name and Position | Cindi Lofton (OFFICE MANAGER) |
Authorized Official Contact | 3183399901 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2801 Fourth St Ste 2 Jonesville LA 71343-2027 Ph: (318) 339-9901 | 2801 Fourth St Ste 2 Jonesville LA 71343 Ph: (318) 339-9901 |
NPI Number | 1073903910 |
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Provider Enumeration Date | 01/30/2015 |
Last Update Date | 05/16/2018 |
Medicare PECOS PAC ID | 6406151463 |
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Medicare Enrollment ID | O20160229002715 |
Identifier | Type | State | Issuer |
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1073903910 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 2203783351 (Louisiana) | Primary |
363LF0000X | Nurse Practitioner - Family | AP04515 (Louisiana) | Secondary |
Dr.william C. Coney Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 904 First St, Jonesville, LA 71343 Phone: 318-339-6162 Fax: 318-339-6719 | |
Catahoula Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2801 Fourth St, Jonesville, LA 71343 Phone: 318-792-8696 |