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214 E Railroad Ave Ste A Palmetto LA 71358-3500 | |
(800) 462-0742 | |
(337) 467-8964 |
Full Name | |
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Speciality | Clinic/Center |
Location | 214 E Railroad Ave Ste A, Palmetto, Louisiana |
Authorized Official Name and Position | April Renee Crocker (ADMINISTRATION) |
Authorized Official Contact | 8004620742 |
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 1127 Cottonport LA 71327-1127 Ph: (800) 462-0742 | 214 E Railroad Ave Ste A Palmetto LA 71358-3500 Ph: (800) 462-0742 |
NPI Number | 1578139705 |
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Provider Enumeration Date | 05/28/2021 |
Last Update Date | 08/28/2023 |
Medicare PECOS PAC ID | 5597767244 |
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Medicare Enrollment ID | O20210805002576 |
Identifier | Type | State | Issuer |
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1578139705 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |