Wk Plain Dealing Medical Clinic | |
108 N Louisiana St Plain Dealing LA 71064-3446 | |
(318) 326-7272 | |
(318) 326-7282 |
Full Name | Wk Plain Dealing Medical Clinic |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 108 N Louisiana St, Plain Dealing, Louisiana |
Authorized Official Name and Position | Greg J Gavin (NETWORK ADMINISTRATOR) |
Authorized Official Contact | 3183267272 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wk Plain Dealing Medical Clinic Po Box 3038 Shreveport LA 71133-3038 Ph: (318) 212-8946 | Wk Plain Dealing Medical Clinic 108 N Louisiana St Plain Dealing LA 71064-3446 Ph: (318) 326-7272 |
NPI Number | 1912939687 |
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Provider Enumeration Date | 07/06/2006 |
Last Update Date | 01/02/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912939687 | NPI | - | NPPES |
1948306 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Plain Dealing Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 112 Forest Street, Plain Dealing, LA 71064 Phone: 318-326-7272 |