| Lasalle Family Medicine Clinic | |
|
180 Ninth St Jena LA 71342-3900 | |
| (318) 992-6311 | |
| (318) 992-9245 |
| Full Name | Lasalle Family Medicine Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 180 Ninth St, Jena, Louisiana |
| Authorized Official Name and Position | Lana B. Francis (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 3189929150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lasalle Family Medicine Clinic P.o. Box 2780 Jena LA 71342 Ph: (318) 992-6311 | Lasalle Family Medicine Clinic 180 Ninth St Jena LA 71342-3900 Ph: (318) 992-6311 |
| NPI Number | 1912173352 |
|---|---|
| Provider Enumeration Date | 05/06/2008 |
| Last Update Date | 01/20/2012 |
| Medicare PECOS PAC ID | 3971596164 |
|---|---|
| Medicare Enrollment ID | O20080827000457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912173352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | 231RHC-2 (Louisiana) | Primary |
| Provider Name | Kimberly Michelle Deloach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063121127 PECOS PAC ID: 4082050752 Enrollment ID: I20240410001825 |
Jena Ess Hospitalist Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 187 9th Street, Jena, LA 71342 Phone: 318-992-9200 | |
Lasalle Kidcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Ninth Street, Jena, LA 71342 Phone: 318-992-6988 Fax: 318-992-6989 | |
Jena Junior High Sbhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 E Southern Ave, Jena, LA 71342 Phone: 318-992-2732 Fax: 318-992-2777 | |
Access Health Louisiana Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 243 E High School Dr, Jena, LA 71342 Phone: 866-530-6111 | |
Jena High Sbhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 243 E High School Dr, Jena, LA 71342 Phone: 318-992-7774 Fax: 318-992-0201 | |
Lasalle Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 Ninth Street, Jena, LA 71342 Phone: 318-992-9296 Fax: 318-992-9125 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1683 N Second St, Jena, LA 71342 Phone: 833-784-2669 Fax: 844-784-2329 |