Wisner Rual Health Clinic | |
3286 Oak St Wisner LA 71378 | |
(318) 724-6789 | |
(318) 724-6788 |
Full Name | Wisner Rual Health Clinic |
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Speciality | Clinic/Center |
Location | 3286 Oak St, Wisner, Louisiana |
Authorized Official Name and Position | Rhonda Etheridge (OFFICE MANAGER) |
Authorized Official Contact | 3187246789 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wisner Rual Health Clinic Po Box 899 Columbia LA 71418-0899 Ph: (318) 649-6111 | Wisner Rual Health Clinic 3286 Oak St Wisner LA 71378 Ph: (318) 724-6789 |
NPI Number | 1396911574 |
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Provider Enumeration Date | 05/07/2008 |
Last Update Date | 03/09/2020 |
Medicare PECOS PAC ID | 9638063944 |
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Medicare Enrollment ID | O20061117000146 |
Identifier | Type | State | Issuer |
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1396911574 | NPI | - | NPPES |
1408743 | Medicaid | LA | |
193471 | Other | LA | MEDICARE PROVIDER # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (Louisiana) | Primary |
Catahoula Parish Hospital District No 2 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 126 Watson Street, Wisner, LA 71378 Phone: 318-724-7008 Fax: 318-724-7646 |