| Multipractice Clinic, Inc. Lacombe Satellite | |
|
27403 Highway 190 Suite A Lacombe LA 70445-6401 | |
| (985) 882-9644 | |
| (985) 882-9604 |
| Full Name | Multipractice Clinic, Inc. Lacombe Satellite |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 27403 Highway 190, Lacombe, Louisiana |
| Authorized Official Name and Position | Estenna Markham (CHIEF INFORMATION OFFICER) |
| Authorized Official Contact | 9858780066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Multipractice Clinic, Inc. Lacombe Satellite Po Box 130 Independence LA 70443-0130 Ph: (985) 878-0066 | Multipractice Clinic, Inc. Lacombe Satellite 27403 Highway 190 Suite A Lacombe LA 70445-6401 Ph: (985) 882-9644 |
| NPI Number | 1841576436 |
|---|---|
| Provider Enumeration Date | 10/26/2011 |
| Last Update Date | 10/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841576436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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