| Marksville Family Clinic | |
|
457 W Waddil St Ste A Marksville LA 71351-2619 | |
| (318) 880-2144 | |
| (318) 717-1663 |
| Full Name | Marksville Family Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 457 W Waddil St Ste A, Marksville, Louisiana |
| Authorized Official Name and Position | April Renee Crocker (ADMINISTRATION) |
| Authorized Official Contact | 8004620742 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marksville Family Clinic Po Box 1127 Cottonport LA 71327-1127 Ph: (800) 462-0742 | Marksville Family Clinic 457 W Waddil St Ste A Marksville LA 71351-2619 Ph: (318) 880-2144 |
| NPI Number | 1487183612 |
|---|---|
| Provider Enumeration Date | 06/10/2017 |
| Last Update Date | 08/28/2023 |
| Medicare PECOS PAC ID | 5597767244 |
|---|---|
| Medicare Enrollment ID | O20170711000537 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487183612 | NPI | - | NPPES |
| 2468529 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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