Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 616 Court St., Oberlin, Louisiana |
Authorized Official Name and Position | Lance Joseph Armentor (CEO) |
Authorized Official Contact | 3374680350 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
801 Poinciana Ave Mamou LA 70554-2298 Ph: (337) 639-2067 | 616 Court St. Oberlin LA 70655 Ph: (337) 468-0427 |
NPI Number | 1881321131 |
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Provider Enumeration Date | 08/05/2022 |
Last Update Date | 06/13/2024 |
Medicare PECOS PAC ID | 1557403953 |
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Medicare Enrollment ID | O20230302002154 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881321131 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7340 La-26 West, Oberlin, LA 70655 Phone: 337-639-4353 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 W 5th Ave, Oberlin, LA 70655 Phone: 833-784-2669 Fax: 844-784-2329 | |
Swla Center For Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 112 N. Sixth Street, Oberlin, LA 70655 Phone: 337-639-2281 Fax: 337-639-6199 |