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301 Mcmillan Rd West Monroe LA 71291-5323 | |
(318) 737-7616 | |
(318) 855-5158 |
Full Name | |
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Speciality | Clinic/Center |
Location | 301 Mcmillan Rd, West Monroe, Louisiana |
Authorized Official Name and Position | Catherine M Tonore (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 3183881250 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 7495 Monroe LA 71211-7495 Ph: (318) 388-1250 | 301 Mcmillan Rd West Monroe LA 71291-5323 Ph: (318) 737-7616 |
NPI Number | 1104384205 |
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Provider Enumeration Date | 03/07/2019 |
Last Update Date | 04/15/2021 |
Medicare PECOS PAC ID | 2062300858 |
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Medicare Enrollment ID | O20190702000481 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104384205 | NPI | - | NPPES |
2494465 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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