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8737 Newfield Drive Livonia LA 70755 | |
(225) 637-2323 | |
(225) 637-2327 |
Full Name | |
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Speciality | Clinic/Center |
Location | 8737 Newfield Drive, Livonia, Louisiana |
Authorized Official Name and Position | Cindy Peavy (EXEUTIVE DIRECTOR) |
Authorized Official Contact | 2254923775 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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6450 Louisiana Highway 1 Batchelor LA 70715 Ph: () - | 8737 Newfield Drive Livonia LA 70755 Ph: (225) 637-2323 |
NPI Number | 1578986006 |
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Provider Enumeration Date | 02/04/2014 |
Last Update Date | 11/18/2021 |
Medicare PECOS PAC ID | 9931130358 |
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Medicare Enrollment ID | O20140806000449 |
Identifier | Type | State | Issuer |
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1578986006 | NPI | - | NPPES |
2355830 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |