South Cameron High Sbhc | |
753 Oak Grove Hwy Grand Chenier LA 70643-3242 | |
(337) 542-4441 | |
(337) 542-4588 |
Full Name | South Cameron High Sbhc |
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Speciality | Clinic/center - Student Health |
Location | 753 Oak Grove Hwy, Grand Chenier, Louisiana |
Authorized Official Name and Position | Paul Trevino (CEO) |
Authorized Official Contact | 4098998191 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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South Cameron High Sbhc 524 Dr Michael Debakey Dr Lake Charles LA 70601-5725 Ph: (337) 542-4441 | South Cameron High Sbhc 753 Oak Grove Hwy Grand Chenier LA 70643-3242 Ph: (337) 542-4441 |
NPI Number | 1407068299 |
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Provider Enumeration Date | 05/04/2007 |
Last Update Date | 07/05/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407068299 | NPI | - | NPPES |
1447404 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |