Open Health Care Clinic | |
3801 North Blvd Baton Rouge LA 70806-3825 | |
(225) 655-6422 | |
(225) 341-5903 |
Full Name | Open Health Care Clinic |
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Speciality | Clinic/Center |
Location | 3801 North Blvd, Baton Rouge, Louisiana |
Authorized Official Name and Position | Tim Young (CEO) |
Authorized Official Contact | 2254241800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Open Health Care Clinic 9516 Airline Hwy Baton Rouge LA 70815-5501 Ph: (225) 655-6422 | Open Health Care Clinic 3801 North Blvd Baton Rouge LA 70806-3825 Ph: (225) 655-6422 |
NPI Number | 1437527900 |
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Provider Enumeration Date | 09/14/2015 |
Last Update Date | 06/08/2023 |
Medicare PECOS PAC ID | 4880981158 |
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Medicare Enrollment ID | O20160930000164 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437527900 | NPI | - | NPPES |
2431943 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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