Phsc Desiard Street Clinic | |
2913 Desiard St Monroe LA 71201-7207 | |
(318) 651-9914 | |
(318) 410-0688 |
Full Name | Phsc Desiard Street Clinic |
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Speciality | Clinic/Center |
Location | 2913 Desiard St, Monroe, Louisiana |
Authorized Official Name and Position | Catherine M Tonore (CEO) |
Authorized Official Contact | 3183881250 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Phsc Desiard Street Clinic Po Box 7495 Monroe LA 71211-7495 Ph: (318) 388-1250 | Phsc Desiard Street Clinic 2913 Desiard St Monroe LA 71201-7207 Ph: (318) 651-9914 |
NPI Number | 1043315286 |
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Provider Enumeration Date | 09/13/2006 |
Last Update Date | 04/15/2021 |
Medicare PECOS PAC ID | 2062300858 |
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Medicare Enrollment ID | O20040304000762 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043315286 | NPI | - | NPPES |
1441431 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Affinity Central Lab Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 Oliver Rd, Suite C, Monroe, LA 71201 Phone: 318-812-7050 Fax: 318-812-7053 | |
Integrated Health Services Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 Tower Dr, Monroe, LA 71201 Phone: 318-410-1044 | |
South Ouachita Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4310 S Grand St Ste 1, Monroe, LA 71202 Phone: 318-746-0420 Fax: 318-752-1940 | |
David L. Barnes, Md, Apmc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3400 Medical Park Dr, Suite C, Monroe, LA 71203 Phone: 318-325-6078 Fax: 318-324-9694 | |
J Dean Stockstill Md, A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3510 Magnolia Cv, Suite 190, Monroe, LA 71203 Phone: 318-323-7576 Fax: 318-322-7131 | |
Affinity Health Group Ulm Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1140 University Ave, Monroe, LA 71209 Phone: 318-342-1651 Fax: 318-342-3280 |