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550 West Veterans Memorial Drive Erath LA 70533-3430 | |
(337) 918-6341 | |
(337) 918-6346 |
Full Name | |
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Speciality | Clinic/Center |
Location | 550 West Veterans Memorial Drive, Erath, Louisiana |
Authorized Official Name and Position | Antoinette Rabenaldt (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 3373302576 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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302 Hacker St New Iberia LA 70560-4508 Ph: (337) 330-2576 | 550 West Veterans Memorial Drive Erath LA 70533-3430 Ph: (337) 918-6341 |
NPI Number | 1073973533 |
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Provider Enumeration Date | 02/26/2016 |
Last Update Date | 12/03/2024 |
Medicare PECOS PAC ID | 2466476023 |
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Medicare Enrollment ID | O20160405001150 |
Identifier | Type | State | Issuer |
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1073973533 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (Louisiana) | Primary |
Erath Family Doctor Clinc, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 E Edwards St, Erath, LA 70533 Phone: 337-937-5803 Fax: 337-937-5806 |