| |
920 Oliver Rd Monroe LA 71201-5745 | |
(318) 327-6225 | |
(318) 327-6222 |
Full Name | |
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Speciality | Clinic/center |
Location | 920 Oliver Rd, Monroe, Louisiana |
Authorized Official Name and Position | Ronald Hogan (CFO/SR VP) |
Authorized Official Contact | 3183277369 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1901 Monroe LA 71210-1901 Ph: (318) 327-6220 | 920 Oliver Rd Monroe LA 71201-5745 Ph: (318) 327-6225 |
NPI Number | 1144218033 |
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Provider Enumeration Date | 10/13/2005 |
Last Update Date | 07/13/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144218033 | NPI | - | NPPES |
1446076 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 157E (Louisiana) | Primary |
Integrated Health Services Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 Tower Dr, Monroe, LA 71201 Phone: 318-410-1044 | |
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 | |