| West Ouachita Family Medicine Llc | |
|
3057 Highway 80 W Calhoun LA 71225-7907 | |
| (318) 644-5838 | |
| (318) 644-5836 |
| Full Name | West Ouachita Family Medicine Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3057 Highway 80 W, Calhoun, Louisiana |
| Authorized Official Name and Position | Alan Ray Hancock (PRESIDENT) |
| Authorized Official Contact | 3186445838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Ouachita Family Medicine Llc 3057 Highway 80 W Calhoun LA 71225-7907 Ph: (318) 644-5838 | West Ouachita Family Medicine Llc 3057 Highway 80 W Calhoun LA 71225-7907 Ph: (318) 644-5838 |
| NPI Number | 1417370909 |
|---|---|
| Provider Enumeration Date | 02/04/2014 |
| Last Update Date | 11/15/2022 |
| Medicare PECOS PAC ID | 2668698986 |
|---|---|
| Medicare Enrollment ID | O20140723000510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417370909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | 2203783685 (Louisiana) | Primary |
| Provider Name | Alan R Hancock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487989257 PECOS PAC ID: 5890830301 Enrollment ID: I20100309000399 |
| Provider Name | Amanda Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548756778 PECOS PAC ID: 8729325493 Enrollment ID: I20190204001778 |
Shepherd Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1326 Highway 80 E, Calhoun, LA 71225 Phone: 318-669-0137 |