| Toledo Health, Llc | |
|
11340 Texas Hwy Many LA 71449 | |
| (318) 315-0574 | |
| Not Available |
| Full Name | Toledo Health, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11340 Texas Hwy, Many, Louisiana |
| Authorized Official Name and Position | Melissa Branch Vines (MANAGER/FNP) |
| Authorized Official Contact | 3183150574 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Toledo Health, Llc 760 Walkerville Rd Many LA 71449-7963 Ph: () - | Toledo Health, Llc 11340 Texas Hwy Many LA 71449 Ph: (318) 315-0574 |
| NPI Number | 1245709658 |
|---|---|
| Provider Enumeration Date | 11/14/2018 |
| Last Update Date | 07/17/2023 |
| Medicare PECOS PAC ID | 7113254343 |
|---|---|
| Medicare Enrollment ID | O20190812001757 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245709658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Jarrett F Rule |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972617421 PECOS PAC ID: 6709801707 Enrollment ID: I20051010000200 |
| Provider Name | Melissa B Vines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033309687 PECOS PAC ID: 3072693514 Enrollment ID: I20080109000459 |
| Provider Name | Lance Grappe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063141703 PECOS PAC ID: 2466836200 Enrollment ID: I20220829002032 |
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