Montgomery Family Clinic | |
641 Rowena St Montgomery LA 71454 | |
(318) 646-3000 | |
Not Available |
Full Name | Montgomery Family Clinic |
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Speciality | Clinic/Center |
Location | 641 Rowena St, Montgomery, Louisiana |
Authorized Official Name and Position | Matthew Sigler (PMC) |
Authorized Official Contact | 3182015321 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Montgomery Family Clinic 641 Rowena Street Montgomery LA 71454-3636 Ph: (318) 646-3000 | Montgomery Family Clinic 641 Rowena St Montgomery LA 71454 Ph: (318) 646-3000 |
NPI Number | 1730429952 |
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Provider Enumeration Date | 02/25/2013 |
Last Update Date | 07/12/2018 |
Medicare PECOS PAC ID | 1153603519 |
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Medicare Enrollment ID | O20170119000276 |
Identifier | Type | State | Issuer |
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1730429952 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (Louisiana) | Primary |
Montgomery Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 641 Rowena St, Montgomery, LA 71454 Phone: 318-354-9348 |