Se Family Healthcare Of Jonesville | |
800 Audubon Dr Jonesville LA 71343-2432 | |
(318) 657-2273 | |
Not Available |
Full Name | Se Family Healthcare Of Jonesville |
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Speciality | Clinic/Center |
Location | 800 Audubon Dr, Jonesville, Louisiana |
Authorized Official Name and Position | Taylor J. Cottano (OWNER) |
Authorized Official Contact | 2253240475 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Se Family Healthcare Of Jonesville Po Box 3843 Pineville LA 71361-3843 Ph: (318) 403-3788 | Se Family Healthcare Of Jonesville 800 Audubon Dr Jonesville LA 71343-2432 Ph: (318) 657-2273 |
NPI Number | 1215625892 |
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Provider Enumeration Date | 05/01/2023 |
Last Update Date | 05/02/2024 |
Medicare PECOS PAC ID | 1355700097 |
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Medicare Enrollment ID | O20230628004554 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215625892 | NPI | - | NPPES |
2523953 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | James B Fontenot |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770524332 PECOS PAC ID: 0941297253 Enrollment ID: I20040428001212 |
Provider Name | Rebecca Sigler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063066983 PECOS PAC ID: 2860721974 Enrollment ID: I20190913001914 |
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