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29565 Highway 63 Livingston LA 70754 | |
(225) 686-1114 | |
(225) 686-1115 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 29565 Highway 63, Livingston, Louisiana |
Authorized Official Name and Position | Kacie Duplessis Stewart (OFFICE MANAGER/OWNER) |
Authorized Official Contact | 2256861114 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1567 Livingston LA 70754-1567 Ph: (225) 686-1114 | 29565 Highway 63 Livingston LA 70754 Ph: (225) 686-1114 |
NPI Number | 1912204744 |
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Provider Enumeration Date | 02/14/2011 |
Last Update Date | 08/31/2015 |
Identifier | Type | State | Issuer |
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1912204744 | NPI | - | NPPES |
2117530 | Medicaid | LA | |
193896 | Other | LA | MEDICARE PART A |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | 150 (Louisiana) | Primary |
Ochsner Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 29437 S Frost Rd Ste 14, Livingston, LA 70754 Phone: 225-761-5200 | |
Livingston Parish School System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13909 Florida Blvd., Livingston, LA 70754 Phone: 225-686-4245 Fax: 225-686-4335 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20300 Government Blvd, Livingston, LA 70754 Phone: 225-686-2241 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20300 Government Blvd, Livingston, LA 70754 Phone: 833-784-2669 Fax: 844-784-2329 |