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335 Main Street Marion LA 71260-3653 | |
(318) 292-2795 | |
(318) 292-8785 |
Full Name | |
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Speciality | Clinic/Center |
Location | 335 Main Street, Marion, Louisiana |
Authorized Official Name and Position | Katie Parnell (CEO) |
Authorized Official Contact | 3182398015 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 792 Bastrop LA 71221-0792 Ph: (318) 239-8015 | 335 Main Street Marion LA 71260-3653 Ph: (318) 292-2795 |
NPI Number | 1649609843 |
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Provider Enumeration Date | 11/07/2013 |
Last Update Date | 03/03/2022 |
Medicare PECOS PAC ID | 1254343593 |
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Medicare Enrollment ID | O20140828002127 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649609843 | NPI | - | NPPES |
2350692 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Sterlington Nursing Home Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 741 Wheeler Rd, Marion, LA 71260 Phone: 318-331-1908 | |