Maringouin Community Health Center | |
77575 Landry Drive Maringouin LA 70757-3028 | |
(225) 625-2105 | |
(225) 625-2109 |
Full Name | Maringouin Community Health Center |
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Speciality | Clinic/Center |
Location | 77575 Landry Drive, Maringouin, Louisiana |
Authorized Official Name and Position | Rachel Nelson (DIRECTOR OF OPERATIONS) |
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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Maringouin Community Health Center 6450 Louisiana Highway 1 Batchelor LA 70715 Ph: (225) 492-3775 | Maringouin Community Health Center 77575 Landry Drive Maringouin LA 70757-3028 Ph: (225) 625-2105 |
NPI Number | 1538538863 |
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Provider Enumeration Date | 09/16/2015 |
Last Update Date | 11/18/2021 |
Medicare PECOS PAC ID | 9931130358 |
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Medicare Enrollment ID | O20160322002307 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538538863 | NPI | - | NPPES |
2408909 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Valverda Elementary School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1653 Valverda Rd, Maringouin, LA 70757 Phone: 225-492-3775 | |
Maringouin Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 77695 Wagley Rd, Maringouin, LA 70757 Phone: 225-625-2313 Fax: 225-625-2424 |