Minden Medical Clinic Of Haughton | |
170 Healthcare Plaza Haughton LA 71037 | |
(318) 706-0022 | |
(318) 706-0023 |
Full Name | Minden Medical Clinic Of Haughton |
---|---|
Speciality | Clinic/Center |
Location | 170 Healthcare Plaza, Haughton, Louisiana |
Authorized Official Name and Position | Shannon Dawn Brown (CLINIC DIRECTOR) |
Authorized Official Contact | 3183827296 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Minden Medical Clinic Of Haughton 170 Healthcare Plaza Haughton LA 71037 Ph: () - | Minden Medical Clinic Of Haughton 170 Healthcare Plaza Haughton LA 71037 Ph: (318) 706-0022 |
NPI Number | 1699392589 |
---|---|
Provider Enumeration Date | 06/26/2020 |
Last Update Date | 03/10/2022 |
Medicare PECOS PAC ID | 4789720004 |
---|---|
Medicare Enrollment ID | O20220328002370 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699392589 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Kin Hood Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1025 Highway 80, Haughton, LA 71037 Phone: 318-949-2495 Fax: 318-949-0249 |