Plain Dealing Medical Clinic | |
112 Forest Street Plain Dealing LA 71064-3446 | |
(318) 326-7272 | |
Not Available |
Full Name | Plain Dealing Medical Clinic |
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Speciality | Family Medicine |
Location | 112 Forest Street, Plain Dealing, Louisiana |
Authorized Official Name and Position | David Jones (CEO) |
Authorized Official Contact | 3183754001 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Plain Dealing Medical Clinic 112 N Forrest Rd Plain Dealing LA 71064-4031 Ph: (318) 326-7272 | Plain Dealing Medical Clinic 112 Forest Street Plain Dealing LA 71064-3446 Ph: (318) 326-7272 |
NPI Number | 1477798668 |
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Provider Enumeration Date | 12/03/2008 |
Last Update Date | 10/30/2020 |
Medicare PECOS PAC ID | 4385544584 |
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Medicare Enrollment ID | O20090327000225 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477798668 | NPI | - | NPPES |
2302639 | Medicaid | LA | |
1444286 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 02439R (Louisiana) | Secondary |
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Wk Plain Dealing Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 N Louisiana St, Plain Dealing, LA 71064 Phone: 318-326-7272 Fax: 318-326-7282 |