| Adala Health, LLC | |
|
902 S Vienna St Ruston LA 71270-5830 | |
| (318) 348-1778 | |
| Not Available |
| Full Name | Adala Health, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 902 S Vienna St, Ruston, Louisiana |
| Authorized Official Name and Position | Latosha J Mollette (NURSE PRACTITIONER) |
| Authorized Official Contact | 3185514311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adala Health, LLC 902 S Vienna St Ruston LA 71270-5830 Ph: (318) 551-4311 | Adala Health, LLC 902 S Vienna St Ruston LA 71270-5830 Ph: (318) 348-1778 |
| NPI Number | 1396616223 |
|---|---|
| Provider Enumeration Date | 09/15/2025 |
| Last Update Date | 03/09/2026 |
| Certification Date | 03/09/2026 |
| Medicare PECOS PAC ID | 5799278362 |
|---|---|
| Medicare Enrollment ID | O20251202003087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396616223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Stacy Conville |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497702880 PECOS PAC ID: 9537186069 Enrollment ID: I20051025000079 |
| Provider Name | Latosha Mollette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821641374 PECOS PAC ID: 3173031101 Enrollment ID: I20250801001370 |
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