| Pelican Healthcare System Llc | |
|
152 Old Sawmill Road Kinder LA 70648 | |
| (713) 292-8739 | |
| Not Available |
| Full Name | Pelican Healthcare System Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 152 Old Sawmill Road, Kinder, Louisiana |
| Authorized Official Name and Position | Victor Elokan Ndando-ngoo (ADMINISTRATOR) |
| Authorized Official Contact | 7132928739 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pelican Healthcare System Llc P.o. Box 1015 Lake Charles LA 70602 Ph: (713) 292-8739 | Pelican Healthcare System Llc 152 Old Sawmill Road Kinder LA 70648 Ph: (713) 292-8739 |
| NPI Number | 1396189247 |
|---|---|
| Provider Enumeration Date | 04/22/2013 |
| Last Update Date | 03/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396189247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
Allen Parish Hospital District No 3 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 6th Ave, Kinder, LA 70648 Phone: 337-738-9424 Fax: 337-738-4726 |