Merryville Community Health Center | |
567 Walker Street Merryville LA 70653 | |
(337) 365-4945 | |
(337) 367-3917 |
Full Name | Merryville Community Health Center |
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Speciality | Clinic/Center |
Location | 567 Walker Street, Merryville, Louisiana |
Authorized Official Name and Position | Nicole Roberson (HEALTH INFORMATION MANAGER) |
Authorized Official Contact | 3373654945 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Merryville Community Health Center 567 Walker Street Merryville LA 70653 Ph: (337) 365-4945 | Merryville Community Health Center 567 Walker Street Merryville LA 70653 Ph: (337) 365-4945 |
NPI Number | 1891020012 |
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Provider Enumeration Date | 10/06/2009 |
Last Update Date | 12/01/2021 |
Medicare PECOS PAC ID | 6204817828 |
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Medicare Enrollment ID | O20101007001223 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891020012 | NPI | - | NPPES |
1803570 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Paradigm Healthcare Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12042 Hwy 190 W, Merryville, LA 70653 Phone: 225-588-8218 |