| |
900 Johnson St Ste A Tallulah LA 71282-4537 | |
(318) 574-3575 | |
(318) 574-5052 |
Full Name | |
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Speciality | Clinic/Center |
Location | 900 Johnson St Ste A, Tallulah, Louisiana |
Authorized Official Name and Position | William Robert Laurents (CFO) |
Authorized Official Contact | 3185742374 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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808 Johnson St Tallulah LA 71282-4535 Ph: (318) 574-3575 | 900 Johnson St Ste A Tallulah LA 71282-4537 Ph: (318) 574-3575 |
NPI Number | 1053575043 |
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Provider Enumeration Date | 07/18/2008 |
Last Update Date | 03/21/2023 |
Medicare PECOS PAC ID | 6305854878 |
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Medicare Enrollment ID | O20080718000427 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053575043 | NPI | - | NPPES |
2112023 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 143-RHC-2 (Louisiana) | Primary |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 N Cedar St, Tallulah, LA 71282 Phone: 318-574-1831 | |
Leonard P. Neumann Jr Md A Professional Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Johnson St., Tallulah, LA 71282 Phone: 318-574-4731 Fax: 318-574-4739 | |
Alice Robert, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 S Lincoln St, Tallulah, LA 71282 Phone: 504-782-7848 Fax: 318-574-3900 |