| South Ouachita Clinic | |
|
4310 S Grand St Ste 1 Monroe LA 71202-6322 | |
| (318) 746-0420 | |
| (318) 752-1940 |
| Full Name | South Ouachita Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 4310 S Grand St Ste 1, Monroe, Louisiana |
| Authorized Official Name and Position | William Means (ADMINISTRATOR) |
| Authorized Official Contact | 3187460420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Ouachita Clinic 816 Benton Rd Bossier City LA 71111-3744 Ph: (318) 243-5533 | South Ouachita Clinic 4310 S Grand St Ste 1 Monroe LA 71202-6322 Ph: (318) 746-0420 |
| NPI Number | 1033618616 |
|---|---|
| Provider Enumeration Date | 02/08/2018 |
| Last Update Date | 02/08/2018 |
| Medicare PECOS PAC ID | 8123096641 |
|---|---|
| Medicare Enrollment ID | O20180523000181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033618616 | NPI | - | NPPES |
| 1700517 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Affinity Central Lab Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 Oliver Rd, Suite C, Monroe, LA 71201 Phone: 318-812-7050 Fax: 318-812-7053 | |
Integrated Health Services Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 Tower Dr, Monroe, LA 71201 Phone: 318-410-1044 | |
Phsc Desiard Street Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2913 Desiard St, Monroe, LA 71201 Phone: 318-651-9914 Fax: 318-410-0688 | |
David L. Barnes, Md, Apmc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3400 Medical Park Dr, Suite C, Monroe, LA 71203 Phone: 318-325-6078 Fax: 318-324-9694 | |
J Dean Stockstill Md, A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3510 Magnolia Cv, Suite 190, Monroe, LA 71203 Phone: 318-323-7576 Fax: 318-322-7131 | |
Affinity Health Group Ulm Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1140 University Ave, Monroe, LA 71209 Phone: 318-342-1651 Fax: 318-342-3280 |