| Premier Care Clinic | |
|
2110 Hollywood Ave Shreveport LA 71108-3922 | |
| (318) 635-5900 | |
| (318) 635-5601 |
| Full Name | Premier Care Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 2110 Hollywood Ave, Shreveport, Louisiana |
| Authorized Official Name and Position | Florine Kessee-doyle (DIRECTOR) |
| Authorized Official Contact | 3186355900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Care Clinic 2110 Hollywood Ave Shreveport LA 71108-3922 Ph: (318) 635-5900 | Premier Care Clinic 2110 Hollywood Ave Shreveport LA 71108-3922 Ph: (318) 635-5900 |
| NPI Number | 1679594782 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679594782 | NPI | - | NPPES |
| 1443760 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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