| Mer Rouge Outpatient Rural Health Clinic | |
|
205 Davenport Street Mer Rouge LA 71261 | |
| (318) 647-3142 | |
| (318) 647-5542 |
| Full Name | Mer Rouge Outpatient Rural Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 205 Davenport Street, Mer Rouge, Louisiana |
| Authorized Official Name and Position | Catherine M Waldrop (ADMINISTRATOR) |
| Authorized Official Contact | 3186659950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mer Rouge Outpatient Rural Health Clinic 220 W Davenport Ave Mer Rouge LA 71261-3903 Ph: (318) 647-3412 | Mer Rouge Outpatient Rural Health Clinic 205 Davenport Street Mer Rouge LA 71261 Ph: (318) 647-3142 |
| NPI Number | 1811171085 |
|---|---|
| Provider Enumeration Date | 12/24/2007 |
| Last Update Date | 06/28/2019 |
| Medicare PECOS PAC ID | 4486652385 |
|---|---|
| Medicare Enrollment ID | O20080220000378 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811171085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Louisiana) | Primary |
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