| Westside Family Healthcare Llc | |
|
58155 Chinn St Suite B Plaquemine LA 70764-3607 | |
| (225) 687-8838 | |
| (225) 687-8836 |
| Full Name | Westside Family Healthcare Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 58155 Chinn St, Plaquemine, Louisiana |
| Authorized Official Name and Position | Andriette Martin Fitch (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2256878838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Family Healthcare Llc 58155 Chinn St Suite B Plaquemine LA 70764-3607 Ph: (225) 687-8838 | Westside Family Healthcare Llc 58155 Chinn St Suite B Plaquemine LA 70764-3607 Ph: (225) 687-8838 |
| NPI Number | 1164687422 |
|---|---|
| Provider Enumeration Date | 07/25/2008 |
| Last Update Date | 11/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164687422 | NPI | - | NPPES |
| DE7061 | Other | LA | RAILROAD MEDICARE |
| 1446548 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 23650 (Louisiana) | Primary |
| 208000000X | Pediatrics | 23650 (Louisiana) | Secondary |
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