Lake Providence Medical Clinic in Lake Providence, LA

Lake Providence Medical Clinic is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Lake Providence, Louisiana. The current practice location for Lake Providence Medical Clinic is 319 N Hood St, Lake Providence, Louisiana. For appointments, you can reach them via phone at (318) 559-1221. The mailing address for Lake Providence Medical Clinic is 706 Ross St, Oak Grove, Louisiana and phone number is (318) 559-1221.

Lake Providence Medical Clinic is licensed to practice in Louisiana (license number ). The clinic also participates in the medicare program and its NPI number is 1851374748. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (318) 559-1221.

Contact Information

	Lake Providence Medical Clinic
	319 N Hood St Lake Providence LA 71254-2141
	(318) 559-1221
	(318) 559-3321

Map and Direction

Primary Care Clinic Profile

Full Name	Lake Providence Medical Clinic
Speciality	Clinic/Center
Location	319 N Hood St, Lake Providence, Louisiana
Authorized Official Name and Position	Dewana Little (ADMINISTRATOR)
Authorized Official Contact	3184283237
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Lake Providence Medical Clinic 706 Ross St Oak Grove LA 71263-9798 Ph: (318) 559-1221	Lake Providence Medical Clinic 319 N Hood St Lake Providence LA 71254-2141 Ph: (318) 559-1221

NPI Details:

NPI Number	1851374748
Provider Enumeration Date	11/23/2005
Last Update Date	12/12/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	5294627774
Medicare Enrollment ID	O20040624001571

Medical Identifiers

Medical identifiers for Lake Providence Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851374748	NPI	-	NPPES
1944521	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QR1300X	Clinic/center - Rural Health	(Louisiana)	Primary

Reviews and Comments

Clinic/Center in Lake Providence, LA

Family Medical Clinic-behavioral Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Scarborough St, Lake Providence, LA 71254 Phone: 318-231-5010 Fax: 318-231-5011
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Morgan St, Lake Providence, LA 71254 Phone: 833-784-2669 Fax: 844-784-2329
Family Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 326 N Hood St, Lake Providence, LA 71254 Phone: 318-559-4024 Fax: 318-559-4025
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 1st St, Lake Providence, LA 71254 Phone: 318-559-2800
East Carroll Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 340 N Hood St, Lake Providence, LA 71254 Phone: 318-559-2404 Fax: 318-559-1772
East Carroll Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 76 Hood St, Lake Providence, LA 71254 Phone: 318-559-2296 Fax: 318-559-6652

Lake Providence Medical Clinic - Medicare Primary Care in Lake Providence, LA