Ouachita Medical Clinic Llc | |
1117 Cheniere Drew Rd West Monroe LA 71291-8551 | |
(318) 329-4370 | |
Not Available |
Full Name | Ouachita Medical Clinic Llc |
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Speciality | Family Medicine |
Location | 1117 Cheniere Drew Rd, West Monroe, Louisiana |
Authorized Official Name and Position | Steven Mcmahan (OWNER) |
Authorized Official Contact | 3182374531 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ouachita Medical Clinic Llc 1117 Cheniere Drew Rd West Monroe LA 71291-8551 Ph: (318) 478-2136 | Ouachita Medical Clinic Llc 1117 Cheniere Drew Rd West Monroe LA 71291-8551 Ph: (318) 329-4370 |
NPI Number | 1508630252 |
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Provider Enumeration Date | 11/13/2023 |
Last Update Date | 11/13/2023 |
Medicare PECOS PAC ID | 6204289622 |
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Medicare Enrollment ID | O20240201000524 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508630252 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Steven Howard Mcmahan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497799456 PECOS PAC ID: 2062567571 Enrollment ID: I20100723000416 |
Provider Name | Joe B Henry |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184810392 PECOS PAC ID: 0648467696 Enrollment ID: I20101203000283 |
Provider Name | Erin Robinson Breard |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982048237 PECOS PAC ID: 7810289972 Enrollment ID: I20160711000413 |
Provider Name | Lindsey White Morrow |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386138295 PECOS PAC ID: 7719221985 Enrollment ID: I20181129002216 |
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