| Wound Care Contractors, Llc | |
|
444 Kingston Plantation Blvd Benton LA 71006-3404 | |
| (318) 272-6847 | |
| (318) 900-7828 |
| Full Name | Wound Care Contractors, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 444 Kingston Plantation Blvd, Benton, Louisiana |
| Authorized Official Name and Position | Kirk Grantham (OWNER) |
| Authorized Official Contact | 3182862781 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Care Contractors, Llc 444 Kingston Plantation Blvd Benton LA 71006-3404 Ph: (318) 286-2781 | Wound Care Contractors, Llc 444 Kingston Plantation Blvd Benton LA 71006-3404 Ph: (318) 272-6847 |
| NPI Number | 1548818735 |
|---|---|
| Provider Enumeration Date | 08/30/2019 |
| Last Update Date | 11/06/2023 |
| Medicare PECOS PAC ID | 5991139644 |
|---|---|
| Medicare Enrollment ID | O20200106000906 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548818735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kirk A Grantham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023241403 PECOS PAC ID: 3870759236 Enrollment ID: I20120730000631 |
| Provider Name | Amy H Norcross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164807723 PECOS PAC ID: 9436465317 Enrollment ID: I20150909001027 |
| Provider Name | Kristen Dickerson Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962003863 PECOS PAC ID: 4981010709 Enrollment ID: I20210302003195 |
Janet L Morehouse Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 188 Burt Blvd, Suite A, Benton, LA 71006 Phone: 318-965-1795 Fax: 318-965-5505 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7076 La-3, Benton, LA 71006 Phone: 318-965-3410 | |
North Bossier Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4707 Palmetto Rd, Benton, LA 71006 Phone: 318-965-9644 Fax: 318-965-9640 | |
Wk Palmetto Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 Lackland Blvd Ste 120, Benton, LA 71006 Phone: 318-935-1522 Fax: 318-935-1525 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 Burt Blvd, Benton, LA 71006 Phone: 833-784-2669 Fax: 844-784-2329 | |
Benton Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 188 Burt Blvd, Benton, LA 71006 Phone: 318-798-4539 Fax: 318-798-4601 |