| The Family Medicine Clinic | |
|
701 S Pine St Deridder LA 70634-4943 | |
| (337) 462-1080 | |
| (337) 462-5346 |
| Full Name | The Family Medicine Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 701 S Pine St, Deridder, Louisiana |
| Authorized Official Name and Position | Randall C Duplechain (PRESIDENT) |
| Authorized Official Contact | 3374621080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Family Medicine Clinic 701 S Pine St Deridder LA 70634-4943 Ph: (337) 462-1080 | The Family Medicine Clinic 701 S Pine St Deridder LA 70634-4943 Ph: (337) 462-1080 |
| NPI Number | 1972761641 |
|---|---|
| Provider Enumeration Date | 05/29/2008 |
| Last Update Date | 02/18/2011 |
| Medicare PECOS PAC ID | 6608897293 |
|---|---|
| Medicare Enrollment ID | O20110308000471 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972761641 | NPI | - | NPPES |
| 1337404 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 16185 (Louisiana) | Primary |
| Provider Name | Randall Duplechain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417963083 PECOS PAC ID: 3779504360 Enrollment ID: I20110308000516 |
Imperial Health Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 W 5th St, Deridder, LA 70634 Phone: 337-202-7850 | |
Davenport Family Medical Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 W 6th St, Deridder, LA 70634 Phone: 337-460-0690 Fax: 337-460-0961 | |
Beauregard Medical And Surgical Center, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 S Washington St, Deridder, LA 70634 Phone: 337-462-7409 Fax: 337-462-7479 | |
Beauregard Parish School Board Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 W 3rd St, Deridder, LA 70634 Phone: 337-463-5551 | |
Kufoy Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 311 S Pine St, Deridder, LA 70634 Phone: 337-463-3500 Fax: 337-463-3526 | |
Beauregard Parish School Board Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 W 3rd St, Deridder, LA 70634 Phone: 337-463-5551 | |
Family Health Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1808 Highway 190 W, Deridder, LA 70634 Phone: 337-855-9023 Fax: 337-855-1829 |