| |
610 N Jefferson Ave Port Allen LA 70767-2414 | |
(225) 267-6626 | |
(225) 267-5993 |
Full Name | |
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Speciality | Family Medicine |
Location | 610 N Jefferson Ave, Port Allen, Louisiana |
Authorized Official Name and Position | Philip G. Padgett (OWNER) |
Authorized Official Contact | 2252676626 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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610 N Jefferson Ave Port Allen LA 70767-2414 Ph: (225) 267-6626 | 610 N Jefferson Ave Port Allen LA 70767-2414 Ph: (225) 267-6626 |
NPI Number | 1700096690 |
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Provider Enumeration Date | 05/22/2007 |
Last Update Date | 03/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700096690 | NPI | - | NPPES |
930071021 | Other | LA | RRR |
1378437 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 019597 (Louisiana) | Primary |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 8th St, Port Allen, LA 70767 Phone: 833-784-2669 Fax: 844-784-2329 | |
Primary Care Providers For A Healthy Feliciana, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3553 Rosedale Rd, Port Allen, LA 70767 Phone: 225-234-0227 Fax: 225-683-1317 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3975 Rosedale Rd, Port Allen, LA 70767 Phone: 225-343-9234 | |