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407 Cincinnati St Delhi LA 71232-3007 | |
(318) 878-6432 | |
(318) 878-8638 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 407 Cincinnati St, Delhi, Louisiana |
Authorized Official Name and Position | Mildred Jinger Greer (ADMINISTRATOR) |
Authorized Official Contact | 3188786398 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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407 Cincinnati St Delhi LA 71232-3007 Ph: (318) 878-6432 | 407 Cincinnati St Delhi LA 71232-3007 Ph: (318) 878-6432 |
NPI Number | 1548291875 |
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Provider Enumeration Date | 07/05/2006 |
Last Update Date | 01/12/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548291875 | NPI | - | NPPES |
1446459 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Vicksburg Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 508 Broadway, Delhi, LA 71232 Phone: 318-878-3737 | |