St. Landry Family Healthcare, Llc | |
536 Veterans Blvd Washington LA 70589-4263 | |
(337) 826-7702 | |
(337) 623-5788 |
Full Name | St. Landry Family Healthcare, Llc |
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Speciality | Clinic/Center |
Location | 536 Veterans Blvd, Washington, Louisiana |
Authorized Official Name and Position | Marcus D Macip (EXECUTIVE VICE PRESIDENT) |
Authorized Official Contact | 3372331307 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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St. Landry Family Healthcare, Llc Po Box 51266 Lafayette LA 70505-1266 Ph: (337) 233-1307 | St. Landry Family Healthcare, Llc 536 Veterans Blvd Washington LA 70589-4263 Ph: (337) 826-7702 |
NPI Number | 1376911735 |
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Provider Enumeration Date | 09/02/2015 |
Last Update Date | 06/20/2024 |
Medicare PECOS PAC ID | 8729382346 |
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Medicare Enrollment ID | O20160202001428 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376911735 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Dixon Family Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 536 St. Landry Veterans Memorial Hwy., Washington, LA 70589 Phone: 337-628-5014 Fax: 337-826-5401 | |
Opelousas General Hospital Authority Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6633 Highway 10, Washington, LA 70589 Phone: 337-826-7702 |