| Central La State Hospital | |
|
242 W Shamrock Ave Pineville LA 71360-6450 | |
| (318) 484-6200 | |
| Not Available |
| Full Name | Central La State Hospital |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 242 W Shamrock Ave, Pineville, Louisiana |
| Authorized Official Name and Position | Genique Anthony (ACCOUNTANT SUPERVISOR 2) |
| Authorized Official Contact | 3184846803 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central La State Hospital Po Box 5031 Pineville LA 71361-5031 Ph: (318) 484-6308 | Central La State Hospital 242 W Shamrock Ave Pineville LA 71360-6450 Ph: (318) 484-6200 |
| NPI Number | 1831220706 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 05/08/2024 |
| Certification Date | 04/30/2024 |
| Medicare PECOS PAC ID | 4981689833 |
|---|---|
| Medicare Enrollment ID | O20040623001036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831220706 | NPI | - | NPPES |
| 1945889 | Medicaid | LA |
| Provider Name | Ernest Kelly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740381953 PECOS PAC ID: 3577513837 Enrollment ID: I20050125000870 |
| Provider Name | Paul A Molinar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275624934 PECOS PAC ID: 6800837469 Enrollment ID: I20050513000668 |
| Provider Name | David Michael Murdock |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508830316 PECOS PAC ID: 4183648116 Enrollment ID: I20060119000037 |
| Provider Name | Jackie W Etheridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740515790 PECOS PAC ID: 6305986258 Enrollment ID: I20091228000322 |
| Provider Name | Maria I Kattan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558493718 PECOS PAC ID: 5991966756 Enrollment ID: I20120423000363 |
| Provider Name | Adrianne B Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578978466 PECOS PAC ID: 9234355801 Enrollment ID: I20140717001583 |
| Provider Name | Stacey L Armand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841676129 PECOS PAC ID: 5294041240 Enrollment ID: I20150904001827 |
| Provider Name | Roderick E Adams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053454496 PECOS PAC ID: 4981867793 Enrollment ID: I20180215000073 |
| Provider Name | Joel S Breving |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275742181 PECOS PAC ID: 9436247079 Enrollment ID: I20180309001626 |
| Provider Name | Cassie M Broussard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831567387 PECOS PAC ID: 5597054254 Enrollment ID: I20180525000245 |
| Provider Name | Yoshika L Hayward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912461914 PECOS PAC ID: 4789919747 Enrollment ID: I20190712001014 |
Bamburg Consulting, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 106 N Bend Dr, Pineville, LA 71360 Phone: 318-442-4498 | |
North River Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5808 Highway 28 E, Pineville, LA 71360 Phone: 318-484-9247 Fax: 318-484-9600 | |
Freedom Counseling Center Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2801 Donahue Ferry Rd, Pineville, LA 71360 Phone: 318-641-0008 Fax: 318-641-1685 | |
Raw Ingenuity Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 752 Tyson Dr, Pineville, LA 71360 Phone: 318-401-1945 | |
Trucare Transportation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 Hickory St, Pineville, LA 71360 Phone: 318-791-2116 | |
New Hope Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2602 Highway 28 E, Suite B, Pineville, LA 71360 Phone: 318-792-3331 | |
Louisiana Care Partners,llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2834 Military Highway, Pineville, LA 71360 Phone: 318-451-3989 Fax: 337-573-4307 |