Family Convenience Clinic | |
2933 Cypress St Ste 1 Hall B West Monroe LA 71291-5468 | |
(318) 322-3637 | |
Not Available |
Full Name | Family Convenience Clinic |
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Speciality | Clinic/Center |
Location | 2933 Cypress St Ste 1, West Monroe, Louisiana |
Authorized Official Name and Position | Katelyn J Taylor (OWNER) |
Authorized Official Contact | 3183229252 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Convenience Clinic Po Box 510 West Monroe LA 71294-0510 Ph: (318) 322-9252 | Family Convenience Clinic 2933 Cypress St Ste 1 Hall B West Monroe LA 71291-5468 Ph: (318) 322-3637 |
NPI Number | 1073248845 |
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Provider Enumeration Date | 07/18/2022 |
Last Update Date | 01/07/2024 |
Medicare PECOS PAC ID | 0345610341 |
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Medicare Enrollment ID | O20230109002781 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073248845 | NPI | - | NPPES |
2607090 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Donna N Saterfiel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285600908 PECOS PAC ID: 1951348515 Enrollment ID: I20050414000800 |
Provider Name | Donald N Givler |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093731515 PECOS PAC ID: 5193868271 Enrollment ID: I20100211000727 |
Provider Name | Katelyn J Taylor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700238581 PECOS PAC ID: 1850685058 Enrollment ID: I20230109002912 |
Provider Name | Miranda Lee |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568089324 PECOS PAC ID: 1951759026 Enrollment ID: I20231129003964 |
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