| Strawberry Patch Pediatrics & Family Clinic | |
|
1054 Sw Railroad Ave Ponchatoula LA 70454-3557 | |
| (855) 869-9898 | |
| (985) 401-9898 |
| Full Name | Strawberry Patch Pediatrics & Family Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1054 Sw Railroad Ave, Ponchatoula, Louisiana |
| Authorized Official Name and Position | Ernest Drake (CEO) |
| Authorized Official Contact | 2252787691 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Strawberry Patch Pediatrics & Family Clinic 1054 Sw Railroad Ave Ponchatoula LA 70454-3557 Ph: (855) 869-9898 | Strawberry Patch Pediatrics & Family Clinic 1054 Sw Railroad Ave Ponchatoula LA 70454-3557 Ph: (855) 869-9898 |
| NPI Number | 1346895638 |
|---|---|
| Provider Enumeration Date | 08/05/2019 |
| Last Update Date | 12/11/2020 |
| Medicare PECOS PAC ID | 5294160859 |
|---|---|
| Medicare Enrollment ID | O20200109000559 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346895638 | NPI | - | NPPES |
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