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20474 Old Scenic Hwy Zachary LA 70791-7365 | |
| (225) 478-1174 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 20474 Old Scenic Hwy, Zachary, Louisiana |
| Authorized Official Name and Position | Matthew Valliere (CEO) |
| Authorized Official Contact | 2256502026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 66156 Baton Rouge LA 70896-6156 Ph: (225) 650-2000 | 20474 Old Scenic Hwy Zachary LA 70791-7365 Ph: (225) 478-1174 |
| NPI Number | 1609683937 |
|---|---|
| Provider Enumeration Date | 12/11/2024 |
| Last Update Date | 12/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609683937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
The Bonin Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1215 Independence Blvd, 1a, Zachary, LA 70791 Phone: 225-570-2010 Fax: 225-570-8573 | |
Zachary Schools Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4656 Main Street, Zachary, LA 70791 Phone: 225-654-8936 | |
Gruner Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6180 Main St, Suite B, Zachary, LA 70791 Phone: 225-658-5959 Fax: 225-658-9998 | |
True Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20959 Anderson Rd, Zachary, LA 70791 Phone: 225-367-8174 Fax: 225-208-1073 | |
Southeast Community Health Systems Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 E Flanacher Road, Zachary, LA 70791 Phone: 225-306-2000 Fax: 225-222-6543 | |