Cottonport Family Clinic | |
1007 Sycamore St Ste B Cottonport LA 71327-3403 | |
(800) 462-0742 | |
(318) 876-3211 |
Full Name | Cottonport Family Clinic |
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Speciality | Clinic/Center |
Location | 1007 Sycamore St Ste B, Cottonport, Louisiana |
Authorized Official Name and Position | April Renee Crocker (ADMINISTRATION) |
Authorized Official Contact | 8004620742 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cottonport Family Clinic Po Box 1127 Cottonport LA 71327-1127 Ph: (800) 462-0742 | Cottonport Family Clinic 1007 Sycamore St Ste B Cottonport LA 71327-3403 Ph: (800) 462-0742 |
NPI Number | 1477724995 |
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Provider Enumeration Date | 03/13/2008 |
Last Update Date | 08/28/2023 |
Medicare PECOS PAC ID | 5597767244 |
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Medicare Enrollment ID | O20080411000602 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477724995 | NPI | - | NPPES |
1448575 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Newell E. Gauthier, Jr. Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 912 Bryan St., Cottonport, LA 71327 Phone: 318-876-3696 Fax: 318-876-3211 | |
Personalized Care Of Avoyelles Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1408 Front St, Cottonport, LA 71327 Phone: 318-876-2800 Fax: 318-876-2803 |