Rural Health Clinic Of Loreauville Llc | |
411 South Main St. Loreauville LA 70552 | |
(337) 229-8288 | |
Not Available |
Full Name | Rural Health Clinic Of Loreauville Llc |
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Speciality | Clinic/Center |
Location | 411 South Main St., Loreauville, Louisiana |
Authorized Official Name and Position | Brock J Romero (SOLE MEMBER) |
Authorized Official Contact | 3372298288 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rural Health Clinic Of Loreauville Llc Po Box 278 Loreauville LA 70552-0278 Ph: (337) 229-8288 | Rural Health Clinic Of Loreauville Llc 411 South Main St. Loreauville LA 70552 Ph: (337) 229-8288 |
NPI Number | 1508206020 |
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Provider Enumeration Date | 06/28/2013 |
Last Update Date | 11/03/2022 |
Medicare PECOS PAC ID | 8628294071 |
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Medicare Enrollment ID | O20140722000465 |
Identifier | Type | State | Issuer |
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1508206020 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (Louisiana) | Primary |
Provider Name | Patrick S Baquet |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326078577 PECOS PAC ID: 8022914555 Enrollment ID: I20031208000394 |
Provider Name | Brock Jude Romero |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841576477 PECOS PAC ID: 7911171152 Enrollment ID: I20111128000055 |
Provider Name | Ross Michael Dugas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093433229 PECOS PAC ID: 7113382649 Enrollment ID: I20230504003101 |
James R Romero Md A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 S Main Street, Loreauville, LA 70552 Phone: 337-229-4214 Fax: 337-229-4065 |