Mcms, Llc | |
17625 Wisdom Dr Baker LA 70714-1536 | |
(225) 505-5217 | |
(225) 658-0099 |
Full Name | Mcms, Llc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 17625 Wisdom Dr, Baker, Louisiana |
Authorized Official Name and Position | Mary Maxine Mccrary (OWNER) |
Authorized Official Contact | 2255055217 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mcms, Llc 17625 Wisdom Dr Baker LA 70714-1536 Ph: (225) 505-5217 | Mcms, Llc 17625 Wisdom Dr Baker LA 70714-1536 Ph: (225) 505-5217 |
NPI Number | 1699177345 |
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Provider Enumeration Date | 09/24/2014 |
Last Update Date | 09/24/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699177345 | NPI | - | NPPES |
2372041 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | AP07509 (Louisiana) | Primary |
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