| |
3955 Government St Ste 2 Baton Rouge LA 70806-5755 | |
(225) 924-1910 | |
Not Available |
Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 3955 Government St Ste 2, Baton Rouge, Louisiana |
Authorized Official Name and Position | Shannon Boling (OPERATIONS OFFICER) |
Authorized Official Contact | 1248397826 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
10473 Old Hammond Hwy Baton Rouge LA 70816-8264 Ph: (225) 900-8924 | 3955 Government St Ste 2 Baton Rouge LA 70806-5755 Ph: (225) 924-1910 |
NPI Number | 1922504364 |
---|---|
Provider Enumeration Date | 04/04/2018 |
Last Update Date | 04/21/2018 |
Medicare PECOS PAC ID | 0042565129 |
---|---|
Medicare Enrollment ID | O20180613001030 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922504364 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 303032 (Louisiana) | Primary |
Charlie H Bridges Md, Facs Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7777 Hennessy Blvd Ste 608, Baton Rouge, LA 70808 Phone: 225-767-0394 Fax: 225-767-3904 | |
Venus/neuropathy Treatment Centers Of La,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3233 S Sherwood Forest Blvd, Suite110, Baton Rouge, LA 70816 Phone: 225-636-5184 Fax: 225-636-5185 | |
Central Community School District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13421 Hooper Rd, Baton Rouge, LA 70818 Phone: 225-262-1919 | |
Deekay Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3923 Convention St, Baton Rouge, LA 70806 Phone: 225-381-6478 | |
Total Family Healthcare, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4336 North Blvd, Suite 103, Baton Rouge, LA 70806 Phone: 225-383-3187 Fax: 225-383-3190 | |
3c&l Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4720 Bluebonnet Blvd Ste B, Baton Rouge, LA 70809 Phone: 225-256-7219 |