| |
800 Johnson St Tallulah LA 71282-4535 | |
(318) 651-6501 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 800 Johnson St, Tallulah, Louisiana |
Authorized Official Name and Position | Chasity Whitaker (COMPLIANCE OFFICER) |
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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900 Johnson Street Tallulah Tallulah LA 71282 Ph: (318) 651-5601 | 800 Johnson St Tallulah LA 71282-4535 Ph: (318) 651-6501 |
NPI Number | 1215492137 |
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Provider Enumeration Date | 02/05/2019 |
Last Update Date | 02/16/2023 |
Medicare PECOS PAC ID | 6305854878 |
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Medicare Enrollment ID | O20200908000564 |
Identifier | Type | State | Issuer |
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1215492137 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | 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 |