| American Stat - Care Centers Pc Inc | |
|
206 Bell Ln Suites C&d West Monroe LA 71291-6300 | |
| (318) 396-3800 | |
| (318) 396-3852 |
| Full Name | American Stat - Care Centers Pc Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 206 Bell Ln, West Monroe, Louisiana |
| Authorized Official Name and Position | Enaka Marie Yembe (OWNER) |
| Authorized Official Contact | 3183963800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| American Stat - Care Centers Pc Inc Po Box 2374 West Monroe LA 71294-2374 Ph: (318) 396-3800 | American Stat - Care Centers Pc Inc 206 Bell Ln Suites C&d West Monroe LA 71291-6300 Ph: (318) 396-3800 |
| NPI Number | 1174653588 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174653588 | NPI | - | NPPES |
| 1054453 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Louisiana) | Primary |
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