| Tunica Biloxi Tribe Of Louisiana Tribal Office | |
|
171 Melancon Rd Marksville LA 71351-3065 | |
| (318) 253-9767 | |
| Not Available |
| Full Name | Tunica Biloxi Tribe Of Louisiana Tribal Office |
|---|---|
| Speciality | Clinic/Center |
| Location | 171 Melancon Rd, Marksville, Louisiana |
| Authorized Official Name and Position | Cameron Mitchelle Chase (HEALTH DIRECTOR) |
| Authorized Official Contact | 3183593659 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tunica Biloxi Tribe Of Louisiana Tribal Office 171 Melancon Rd Marksville LA 71351-3065 Ph: (318) 253-9767 | Tunica Biloxi Tribe Of Louisiana Tribal Office 171 Melancon Rd Marksville LA 71351-3065 Ph: (318) 253-9767 |
| NPI Number | 1912591561 |
|---|---|
| Provider Enumeration Date | 02/24/2021 |
| Last Update Date | 04/05/2024 |
| Medicare PECOS PAC ID | 7113311267 |
|---|---|
| Medicare Enrollment ID | O20220307000599 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912591561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Carl D Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679853477 PECOS PAC ID: 6204009780 Enrollment ID: I20220307000774 |
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