| |
309 Jackson St Monroe LA 71201-7407 | |
(318) 322-2220 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center |
Location | 309 Jackson St, Monroe, Louisiana |
Authorized Official Name and Position | Ronald E Hogan (SR VICE PRESIDENT AND CFO) |
Authorized Official Contact | 3183277369 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 3249 Monroe LA 71210-3249 Ph: (318) 322-2220 | 309 Jackson St Monroe LA 71201-7407 Ph: (318) 322-2220 |
NPI Number | 1164604062 |
---|---|
Provider Enumeration Date | 12/03/2007 |
Last Update Date | 12/03/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164604062 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 157 (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 | |