| Phsc-school Based Health | |
|
2945 Renwick St Monroe LA 71201-8146 | |
| (318) 654-8760 | |
| (318) 605-2374 |
| Full Name | Phsc-school Based Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 2945 Renwick 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 |
|---|---|
| Phsc-school Based Health Po Box 7495 Monroe LA 71211-7495 Ph: (318) 388-1250 | Phsc-school Based Health 2945 Renwick St Monroe LA 71201-8146 Ph: (318) 654-8760 |
| NPI Number | 1184111668 |
|---|---|
| Provider Enumeration Date | 04/19/2018 |
| Last Update Date | 04/15/2021 |
| Medicare PECOS PAC ID | 2062300858 |
|---|---|
| Medicare Enrollment ID | O20230330002238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184111668 | NPI | - | NPPES |
| 2477099 | 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 | |
Phsc Desiard Street Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2913 Desiard St, Monroe, LA 71201 Phone: 318-651-9914 Fax: 318-410-0688 | |
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 | |
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