Shepherd Family Clinic | |
1326 Highway 80 E Calhoun LA 71225-9113 | |
(318) 669-0137 | |
Not Available |
Full Name | Shepherd Family Clinic |
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Speciality | Family Medicine |
Location | 1326 Highway 80 E, Calhoun, Louisiana |
Authorized Official Name and Position | Stephanie Jordan Shepherd (NP) |
Authorized Official Contact | 3185993050 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shepherd Family Clinic 1326 Highway 80 E Calhoun LA 71225-9113 Ph: (318) 599-3050 | Shepherd Family Clinic 1326 Highway 80 E Calhoun LA 71225-9113 Ph: (318) 669-0137 |
NPI Number | 1780396549 |
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Provider Enumeration Date | 12/22/2022 |
Last Update Date | 09/13/2023 |
Medicare PECOS PAC ID | 2264806561 |
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Medicare Enrollment ID | O20230329000626 |
Identifier | Type | State | Issuer |
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1780396549 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Stephanie J Shepherd |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013584101 PECOS PAC ID: 9436551785 Enrollment ID: I20210709001004 |
West Ouachita Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3057 Highway 80 W, Calhoun, LA 71225 Phone: 318-644-5838 Fax: 318-644-5836 |