| Michael Brooks Family Clinic | |
|
612 S. Farmerville Street Ruston LA 71270 | |
| (318) 680-8587 | |
| Not Available |
| Full Name | Michael Brooks Family Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 612 S. Farmerville Street, Ruston, Louisiana |
| Authorized Official Name and Position | Chris L Bowman (OFFICER) |
| Authorized Official Contact | 3182596200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Brooks Family Clinic Po Box 445 Ruston LA 71273-0445 Ph: (318) 436-2600 | Michael Brooks Family Clinic 612 S. Farmerville Street Ruston LA 71270 Ph: (318) 680-8587 |
| NPI Number | 1518459700 |
|---|---|
| Provider Enumeration Date | 06/04/2018 |
| Last Update Date | 06/17/2019 |
| Medicare PECOS PAC ID | 2860734415 |
|---|---|
| Medicare Enrollment ID | O20190620000722 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518459700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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