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1798 Highway 1042 Greensburg LA 70441-4241 | |
(225) 222-3194 | |
(225) 222-3234 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1798 Highway 1042, Greensburg, Louisiana |
Authorized Official Name and Position | Alecia Cyprian (CEO) |
Authorized Official Contact | 2253062000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 770 Zachary LA 70791-0770 Ph: (225) 306-2000 | 1798 Highway 1042 Greensburg LA 70441-4241 Ph: (225) 222-3194 |
NPI Number | 1528297579 |
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Provider Enumeration Date | 07/13/2009 |
Last Update Date | 11/25/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528297579 | NPI | - | NPPES |
1805769 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 N 1st St, Greensburg, LA 70441 Phone: 225-222-4413 | |