| Pediatric & Adolescent Clinic | |
|
1806 Carter Street Vidalia LA 71373-3115 | |
| (318) 336-7172 | |
| (318) 336-7172 |
| Full Name | Pediatric & Adolescent Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1806 Carter Street, Vidalia, Louisiana |
| Authorized Official Name and Position | Stephanie P Rife (BUSINESS MGR) |
| Authorized Official Contact | 6014427676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric & Adolescent Clinic 308 Highland Blvd Natchez MS 39120-4611 Ph: (601) 442-7676 | Pediatric & Adolescent Clinic 1806 Carter Street Vidalia LA 71373-3115 Ph: (318) 336-7172 |
| NPI Number | 1407025711 |
|---|---|
| Provider Enumeration Date | 02/21/2008 |
| Last Update Date | 12/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407025711 | NPI | - | NPPES |
| 1021849 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Louisiana) | Primary |
Vidalia Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 Carter St Ste A, Vidalia, LA 71373 Phone: 318-766-1967 | |
Seki Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1812 Carter St, Vidalia, LA 71373 Phone: 318-336-7072 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4001 Carter St Rm 7, Vidalia, LA 71373 Phone: 318-336-5231 | |
Riverpark Primary Health Clinic, Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Front Street, Vidalia, LA 71373 Phone: 318-336-2218 Fax: 318-336-6066 | |
Concordia Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Carter St, Suite A, Vidalia, LA 71373 Phone: 318-336-4780 Fax: 318-336-4783 | |
Riverpark Community Cath Lab, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Front St, Vidalia, LA 71373 Phone: 601-445-1703 Fax: 601-445-6726 |