Full Name | |
---|---|
Speciality | Family Medicine |
Location | 6214 Hwy 10, Greensburg, Louisiana |
Authorized Official Name and Position | Jimmie W Vanrndo (OWNER) |
Authorized Official Contact | 2252223206 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6214 Hwy 10 P. O. Box 1178 Greensburg LA 70441 Ph: (225) 222-3206 | 6214 Hwy 10 Greensburg LA 70441 Ph: (225) 222-3206 |
NPI Number | 1073620191 |
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Provider Enumeration Date | 08/24/2006 |
Last Update Date | 07/10/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073620191 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 011614 (Louisiana) | Primary |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 N 1st St, Greensburg, LA 70441 Phone: 225-222-4413 | |