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2801 Fourth St Jonesville LA 71343-2004 | |
(318) 339-9990 | |
(318) 339-9915 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 2801 Fourth St, Jonesville, Louisiana |
Authorized Official Name and Position | Allyson C Fannin (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 3189929200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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187 Ninth Street Po Box 2780 Jena LA 71342-2780 Ph: (318) 992-9200 | 2801 Fourth St Jonesville LA 71343-2004 Ph: (318) 339-9990 |
NPI Number | 1275640070 |
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Provider Enumeration Date | 08/25/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275640070 | NPI | - | NPPES |
1449717 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 231RHC-1 (Louisiana) | Primary |
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 |