Main Street Clinic, Llc | |
115 Main St Columbia LA 71418 | |
(318) 649-3668 | |
Not Available |
Full Name | Main Street Clinic, Llc |
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Speciality | Clinic/center - Urgent Care |
Location | 115 Main St, Columbia, Louisiana |
Authorized Official Name and Position | Laura G Cummings (OWNER, PROVIDER) |
Authorized Official Contact | 3186493668 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Main Street Clinic, Llc Po Box 1615 Columbia LA 71418-1615 Ph: (318) 649-3668 | Main Street Clinic, Llc 115 Main St Columbia LA 71418 Ph: (318) 649-3668 |
NPI Number | 1396022034 |
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Provider Enumeration Date | 11/09/2011 |
Last Update Date | 11/23/2011 |
Identifier | Type | State | Issuer |
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1396022034 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
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