| Alliance Healthcare | |
|
210 B South Girouard Dr Broussard LA 70518-5220 | |
| (337) 369-0008 | |
| Not Available |
| Full Name | Alliance Healthcare |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 210 B South Girouard Dr, Broussard, Louisiana |
| Authorized Official Name and Position | Amber Littlefield (OWNER/NP) |
| Authorized Official Contact | 3372882240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Healthcare 3100 Jane St New Iberia LA 70563-1003 Ph: (337) 288-2240 | Alliance Healthcare 210 B South Girouard Dr Broussard LA 70518-5220 Ph: (337) 369-0008 |
| NPI Number | 1720842248 |
|---|---|
| Provider Enumeration Date | 02/06/2024 |
| Last Update Date | 10/23/2024 |
| Certification Date | 10/23/2024 |
| Medicare PECOS PAC ID | 3971036831 |
|---|---|
| Medicare Enrollment ID | O20241030002655 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720842248 | NPI | - | NPPES |
| Provider Name | Amber Portier Littlefield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538440094 PECOS PAC ID: 9537331327 Enrollment ID: I20111021000250 |
| Provider Name | Sean M Thibodeaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720766884 PECOS PAC ID: 3971957333 Enrollment ID: I20231004000563 |
Katie L Simon Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1137 S Bernard Rd Ste A1006, Broussard, LA 70518 Phone: 337-306-4540 |