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8366 Pointe Coupee Rd Morganza LA 70759-3320 | |
(225) 694-3737 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 8366 Pointe Coupee Rd, Morganza, Louisiana |
Authorized Official Name and Position | Cindy Peavy (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2254923775 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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6450 Louisiana Highway 1 Batchelor LA 70715-0889 Ph: (225) 492-3775 | 8366 Pointe Coupee Rd Morganza LA 70759-3320 Ph: (225) 694-3737 |
NPI Number | 1821287202 |
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Provider Enumeration Date | 10/22/2007 |
Last Update Date | 04/08/2016 |
Medicare PECOS PAC ID | 9931130358 |
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Medicare Enrollment ID | O20140827000760 |
Identifier | Type | State | Issuer |
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1821287202 | NPI | - | NPPES |
1034185 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |