| Full Name | |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 4231 Hwy 79, Homer, Louisiana |
| Authorized Official Name and Position | Chassity Brown Spells (CEO) |
| Authorized Official Contact | 3188344700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4231 Hwy 79 Homer LA 71040 Ph: (318) 216-5562 | 4231 Hwy 79 Homer LA 71040 Ph: (318) 216-5562 |
| NPI Number | 1043751670 |
|---|---|
| Provider Enumeration Date | 03/15/2017 |
| Last Update Date | 05/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043751670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Pelican Pediatrics, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 911 W Main St, Suite C, Homer, LA 71040 Phone: 318-927-3255 Fax: 318-927-3257 | |
Cw Outreach Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4229 Us-79, Homer, LA 71040 Phone: 318-523-4103 | |
Homer Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 912 W Main St, Homer, LA 71040 Phone: 318-927-3571 | |
Divinity Healthcare Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 W 2nd St, Homer, LA 71040 Phone: 318-265-4542 Fax: 318-550-4271 | |