Kufoy Medical Clinic | |
311 S Pine St Deridder LA 70634-4837 | |
(337) 463-3500 | |
(337) 463-3526 |
Full Name | Kufoy Medical Clinic |
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Speciality | Internal Medicine |
Location | 311 S Pine St, Deridder, Louisiana |
Authorized Official Name and Position | Ernesto Antonio Kufoy (OWNER/PHYSICIAN) |
Authorized Official Contact | 3374633500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kufoy Medical Clinic 311 S Pine St Deridder LA 70634-4837 Ph: (337) 463-3500 | Kufoy Medical Clinic 311 S Pine St Deridder LA 70634-4837 Ph: (337) 463-3500 |
NPI Number | 1417118084 |
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Provider Enumeration Date | 06/17/2008 |
Last Update Date | 06/17/2008 |
Medicare PECOS PAC ID | 7911072012 |
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Medicare Enrollment ID | O20080826000034 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417118084 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 11431R (Louisiana) | Primary |
Provider Name | Ernesto Antonio Kufoy |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295792596 PECOS PAC ID: 2567537665 Enrollment ID: I20080826000029 |
Imperial Health Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 W 5th St, Deridder, LA 70634 Phone: 337-202-7850 | |
Davenport Family Medical Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 W 6th St, Deridder, LA 70634 Phone: 337-460-0690 Fax: 337-460-0961 | |
Beauregard Medical And Surgical Center, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 S Washington St, Deridder, LA 70634 Phone: 337-462-7409 Fax: 337-462-7479 | |
Beauregard Parish School Board Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 W 3rd St, Deridder, LA 70634 Phone: 337-463-5551 | |
Beauregard Parish School Board Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 W 3rd St, Deridder, LA 70634 Phone: 337-463-5551 | |
Family Health Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1808 Highway 190 W, Deridder, LA 70634 Phone: 337-855-9023 Fax: 337-855-1829 |