| Sterlington Care Clinic | |
|
355 W Hickory Ave Bastrop LA 71220-4441 | |
| (318) 665-9950 | |
| Not Available |
| Full Name | Sterlington Care Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 355 W Hickory Ave, Bastrop, Louisiana |
| Authorized Official Name and Position | Cathy Waldrop (CEO) |
| Authorized Official Contact | 3186659950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sterlington Care Clinic 355 W Hickory Ave Bastrop LA 71220-4441 Ph: (318) 665-9950 | Sterlington Care Clinic 355 W Hickory Ave Bastrop LA 71220-4441 Ph: (318) 665-9950 |
| NPI Number | 1619428588 |
|---|---|
| Provider Enumeration Date | 10/17/2016 |
| Last Update Date | 06/28/2019 |
| Medicare PECOS PAC ID | 4486652385 |
|---|---|
| Medicare Enrollment ID | O20170313000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619428588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| Provider Name | John S Ziegler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669465316 PECOS PAC ID: 5890748248 Enrollment ID: I20050224000944 |
| Provider Name | Joann S Meche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275583288 PECOS PAC ID: 7214931062 Enrollment ID: I20060908000378 |
| Provider Name | Jack C Noble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447233036 PECOS PAC ID: 8729017280 Enrollment ID: I20080919000053 |
| Provider Name | Lauren Vyvial |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558646984 PECOS PAC ID: 9133367725 Enrollment ID: I20130520000698 |
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