| Riser Shool Based Health Clinic | |
|
100 Price Dr West Monroe LA 71292-6315 | |
| (318) 325-0973 | |
| (318) 361-9323 |
| Full Name | Riser Shool Based Health Clinic |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 100 Price Dr, West Monroe, Louisiana |
| Authorized Official Name and Position | Wendy Cranford (DIRECTOR OF SCHOOL BASED HLTH CLNC) |
| Authorized Official Contact | 3183250973 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riser Shool Based Health Clinic 100 Price Dr West Monroe LA 71292-6315 Ph: (318) 325-0973 | Riser Shool Based Health Clinic 100 Price Dr West Monroe LA 71292-6315 Ph: (318) 325-0973 |
| NPI Number | 1477679181 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477679181 | NPI | - | NPPES |
| 1446181 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | 008723 (Louisiana) | Primary |
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