| Smc Doctors Clinic | |
|
401 11th St Ne Springhill LA 71075-4503 | |
| (318) 539-1700 | |
| (318) 539-5688 |
| Full Name | Smc Doctors Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 401 11th St Ne, Springhill, Louisiana |
| Authorized Official Name and Position | Michael G Patronis (CEO) |
| Authorized Official Contact | 3185391001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smc Doctors Clinic 401 11th St Ne Springhill LA 71075-4503 Ph: (318) 539-1700 | Smc Doctors Clinic 401 11th St Ne Springhill LA 71075-4503 Ph: (318) 539-1700 |
| NPI Number | 1871507616 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 05/19/2021 |
| Medicare PECOS PAC ID | 6002728912 |
|---|---|
| Medicare Enrollment ID | O20051220000464 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871507616 | NPI | - | NPPES |
| 160435729 | Medicaid | AR | |
| 1448290 | Medicaid | LA | |
| 1441601 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 105 (Louisiana) | Primary |
Springhill Medical Center Hospital Based Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2001 Doctors Dr, Springhill, LA 71075 Phone: 318-539-1000 Fax: 318-539-4085 |