| Peabody School-based Clinic | |
|
2727 Jones Ave Alexandria LA 71302-5619 | |
| (318) 209-4510 | |
| (318) 209-4519 |
| Full Name | Peabody School-based Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2727 Jones Ave, Alexandria, Louisiana |
| Authorized Official Name and Position | David Adams (COO) |
| Authorized Official Contact | 3186480375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peabody School-based Clinic Po Box 1288 Winnfield LA 71483-1288 Ph: (318) 648-0375 | Peabody School-based Clinic 2727 Jones Ave Alexandria LA 71302-5619 Ph: (318) 209-4510 |
| NPI Number | 1922599380 |
|---|---|
| Provider Enumeration Date | 05/22/2018 |
| Last Update Date | 06/26/2019 |
| Medicare PECOS PAC ID | 2567516545 |
|---|---|
| Medicare Enrollment ID | O20210511001109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922599380 | NPI | - | NPPES |
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