| Primary Healthcare Of Southeast La Llc | |
|
57935 Mcdaniel St Plaquemine LA 70764-2039 | |
| (225) 620-1561 | |
| (225) 687-9904 |
| Full Name | Primary Healthcare Of Southeast La Llc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 57935 Mcdaniel St, Plaquemine, Louisiana |
| Authorized Official Name and Position | Thane Battiste Painia (MANAGER) |
| Authorized Official Contact | 2256201561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Healthcare Of Southeast La Llc 57935 Mcdaniel St Plaquemine LA 70764-2039 Ph: (225) 620-1561 | Primary Healthcare Of Southeast La Llc 57935 Mcdaniel St Plaquemine LA 70764-2039 Ph: (225) 620-1561 |
| NPI Number | 1568690535 |
|---|---|
| Provider Enumeration Date | 06/29/2009 |
| Last Update Date | 06/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568690535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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