| Primary Care Providers For A Healthy Feliciana, Inc | |
|
455 E Airport Ave Baton Rouge LA 70806-4832 | |
| (225) 683-1320 | |
| (855) 278-4193 |
| Full Name | Primary Care Providers For A Healthy Feliciana, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 455 E Airport Ave, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Christi C Hunt (CEO) |
| Authorized Official Contact | 2256835292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Providers For A Healthy Feliciana, Inc Po Box 395 Clinton LA 70722-0395 Ph: (225) 683-5292 | Primary Care Providers For A Healthy Feliciana, Inc 455 E Airport Ave Baton Rouge LA 70806-4832 Ph: (225) 683-1320 |
| NPI Number | 1134884323 |
|---|---|
| Provider Enumeration Date | 11/03/2021 |
| Last Update Date | 11/03/2021 |
| Medicare PECOS PAC ID | 1052220985 |
|---|---|
| Medicare Enrollment ID | O20211123003358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134884323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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