Maringouin Medical Center, Llc | |
77695 Wagley Rd Maringouin LA 70757-0098 | |
(225) 625-2313 | |
(225) 625-2424 |
Full Name | Maringouin Medical Center, Llc |
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Speciality | Clinic/center - Primary Care |
Location | 77695 Wagley Rd, Maringouin, Louisiana |
Authorized Official Name and Position | Kellie Bertrand (OWNER) |
Authorized Official Contact | 2256252313 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Maringouin Medical Center, Llc Po Box 98 Maringouin LA 70757-0098 Ph: (225) 625-2313 | Maringouin Medical Center, Llc 77695 Wagley Rd Maringouin LA 70757-0098 Ph: (225) 625-2313 |
NPI Number | 1275716078 |
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Provider Enumeration Date | 12/14/2007 |
Last Update Date | 12/14/2007 |
Identifier | Type | State | Issuer |
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1275716078 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (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 Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 77575 Landry Drive, Maringouin, LA 70757 Phone: 225-625-2105 Fax: 225-625-2109 |