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402 2nd Street Bernice LA 71222-0302 | |
(318) 285-9066 | |
(318) 285-9065 |
Full Name | |
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Speciality | Clinic/Center |
Location | 402 2nd Street, Bernice, Louisiana |
Authorized Official Name and Position | Robin G Adams (DIRECTOR OF BUSINESS SERVICES) |
Authorized Official Contact | 3182859066 |
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 302 Bernice LA 71222-0302 Ph: (318) 285-9066 | 402 2nd Street Bernice LA 71222-0302 Ph: (318) 285-9066 |
NPI Number | 1669431847 |
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Provider Enumeration Date | 03/17/2006 |
Last Update Date | 12/19/2013 |
Medicare PECOS PAC ID | 8123011137 |
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Medicare Enrollment ID | O20100505000294 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669431847 | NPI | - | NPPES |
1946044 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 215RHC-1 (Louisiana) | Primary |
Bernice Medical Associates,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 Second St., Bernice, LA 71222 Phone: 318-285-9066 Fax: 318-285-9065 |