| St. James Primary Care, Laplace | |
|
502 Rue De Sante Ste 301 La Place LA 70068-5424 | |
| (985) 652-5475 | |
| (985) 652-5476 |
| Full Name | St. James Primary Care, Laplace |
|---|---|
| Speciality | Clinic/Center |
| Location | 502 Rue De Sante Ste 301, La Place, Louisiana |
| Authorized Official Name and Position | Anu P Vellanki (MD) |
| Authorized Official Contact | 2258699200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. James Primary Care, Laplace Po Box 419 Gramercy LA 70052 Ph: (225) 869-9200 | St. James Primary Care, Laplace 502 Rue De Sante Ste 301 La Place LA 70068-5424 Ph: (985) 652-5475 |
| NPI Number | 1457403503 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 05/18/2023 |
| Medicare PECOS PAC ID | 0941270961 |
|---|---|
| Medicare Enrollment ID | O20100210000720 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457403503 | NPI | - | NPPES |
| 057843586A | Other | LA | BLUE CROSS BLUE SHIELD |
| 1457621 | Medicaid | LA | |
| 5CE42 | Other | LA | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 114 (Louisiana) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
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