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261 Highway 132 Mangham LA 71259-5269 | |
(318) 248-2807 | |
(318) 248-2967 |
Full Name | |
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Speciality | Clinic/Center |
Location | 261 Highway 132, Mangham, Louisiana |
Authorized Official Name and Position | Robyn Hemphill (CEO) |
Authorized Official Contact | 3188129500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 51193 Lafayette LA 70505-1193 Ph: (318) 248-2807 | 261 Highway 132 Mangham LA 71259-5269 Ph: (318) 248-2807 |
NPI Number | 1871153379 |
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Provider Enumeration Date | 06/17/2019 |
Last Update Date | 06/18/2019 |
Medicare PECOS PAC ID | 5294725297 |
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Medicare Enrollment ID | O20191210000678 |
Identifier | Type | State | Issuer |
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1871153379 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Doctors Bringing It Home Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Lela St, Mangham, LA 71259 Phone: 318-303-3035 Fax: 308-248-2168 | |
Ronald J Morgan, A Professional Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Lela St, Mangham, LA 71259 Phone: 318-248-2165 Fax: 318-248-2168 | |