| Kids Clinic And Adult Wellness Of Crowley | |
|
1307 Crowley Rayne Hwy Ste C Crowley LA 70526-8210 | |
| (337) 250-4710 | |
| Not Available |
| Full Name | Kids Clinic And Adult Wellness Of Crowley |
|---|---|
| Speciality | Clinic/Center |
| Location | 1307 Crowley Rayne Hwy Ste C, Crowley, Louisiana |
| Authorized Official Name and Position | Antoinette Rabenaldt (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 3376088988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Clinic And Adult Wellness Of Crowley 302 Hacker St New Iberia LA 70560-4508 Ph: (337) 330-2576 | Kids Clinic And Adult Wellness Of Crowley 1307 Crowley Rayne Hwy Ste C Crowley LA 70526-8210 Ph: (337) 250-4710 |
| NPI Number | 1679126510 |
|---|---|
| Provider Enumeration Date | 07/19/2019 |
| Last Update Date | 08/29/2024 |
| Medicare PECOS PAC ID | 2466476023 |
|---|---|
| Medicare Enrollment ID | O20191009000974 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679126510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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