| Wheat Medical Center Llc | |
|
138 E 5th St Natchitoches LA 71457-5725 | |
| (318) 352-4477 | |
| (318) 352-4470 |
| Full Name | Wheat Medical Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 138 E 5th St, Natchitoches, Louisiana |
| Authorized Official Name and Position | Stephen Wheat (OWNER) |
| Authorized Official Contact | 3183524477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wheat Medical Center Llc 138 E 5th St Natchitoches LA 71457-5725 Ph: (318) 352-4477 | Wheat Medical Center Llc 138 E 5th St Natchitoches LA 71457-5725 Ph: (318) 352-4477 |
| NPI Number | 1851573265 |
|---|---|
| Provider Enumeration Date | 11/28/2007 |
| Last Update Date | 05/16/2008 |
| Medicare PECOS PAC ID | 6406930494 |
|---|---|
| Medicare Enrollment ID | O20080229000120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851573265 | NPI | - | NPPES |
| 1938246 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Stephen W Wheat |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1356348619 PECOS PAC ID: 9133101520 Enrollment ID: I20040601000772 |
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