Vinton Medical Clinic | |
1611 Hampton St Vinton LA 70668-3707 | |
(337) 589-5951 | |
(337) 589-4013 |
Full Name | Vinton Medical Clinic |
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Speciality | Clinic/Center |
Location | 1611 Hampton St, Vinton, Louisiana |
Authorized Official Name and Position | Janie Fruge (CEO) |
Authorized Official Contact | 3375274241 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vinton Medical Clinic 1611 Hampton St Vinton LA 70668-3707 Ph: (337) 589-5951 | Vinton Medical Clinic 1611 Hampton St Vinton LA 70668-3707 Ph: (337) 589-5951 |
NPI Number | 1316924400 |
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Provider Enumeration Date | 12/29/2005 |
Last Update Date | 09/27/2016 |
Medicare PECOS PAC ID | 1052221447 |
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Medicare Enrollment ID | O20040318000265 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316924400 | NPI | - | NPPES |
1942502 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 097 (Louisiana) | Primary |
Thibodeaux Medical Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1303 Horridge St, Vinton, LA 70668 Phone: 337-324-8060 Fax: 337-324-8061 |