| Minden Family Care Center, Llc | |
|
208 Morris Dr Minden LA 71055-3053 | |
| (318) 377-8260 | |
| (318) 377-9053 |
| Full Name | Minden Family Care Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 208 Morris Dr, Minden, Louisiana |
| Authorized Official Name and Position | Joseph Nida (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3183778260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minden Family Care Center, Llc 208 Morris Dr Minden LA 71055-3053 Ph: (318) 377-8260 | Minden Family Care Center, Llc 208 Morris Dr Minden LA 71055-3053 Ph: (318) 377-8260 |
| NPI Number | 1225002124 |
|---|---|
| Provider Enumeration Date | 02/15/2006 |
| Last Update Date | 04/26/2023 |
| Medicare PECOS PAC ID | 1456337658 |
|---|---|
| Medicare Enrollment ID | O20090218000378 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225002124 | NPI | - | NPPES |
| 1944645 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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