| Raymond F. Schneider Memorial Clinic, Llc | |
|
1302 Ed Broussard Road New Iberia LA 70563 | |
| (337) 229-7929 | |
| Not Available |
| Full Name | Raymond F. Schneider Memorial Clinic, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1302 Ed Broussard Road, New Iberia, Louisiana |
| Authorized Official Name and Position | Nancy Schneider (OWNER) |
| Authorized Official Contact | 3372297929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raymond F. Schneider Memorial Clinic, Llc Po Box 408 1302 Ed Broussard Road Loreauville LA 70552 Ph: (337) 229-7929 | Raymond F. Schneider Memorial Clinic, Llc 1302 Ed Broussard Road New Iberia LA 70563 Ph: (337) 229-7929 |
| NPI Number | 1790952893 |
|---|---|
| Provider Enumeration Date | 05/08/2008 |
| Last Update Date | 08/18/2008 |
| Medicare PECOS PAC ID | 1355444357 |
|---|---|
| Medicare Enrollment ID | O20071009000667 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790952893 | NPI | - | NPPES |
| 1037591 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 129 (Louisiana) | Primary |
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