| Capitol City Family Health Center, Incorporated | |
|
8730 Youree Dr Ste A-b Shreveport LA 71115-2500 | |
| (318) 408-1505 | |
| (318) 408-1506 |
| Full Name | Capitol City Family Health Center, Incorporated |
|---|---|
| Speciality | Clinic/Center |
| Location | 8730 Youree Dr Ste A-b, Shreveport, Louisiana |
| Authorized Official Name and Position | Matthew Valliere (CEO) |
| Authorized Official Contact | 2256502026 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Capitol City Family Health Center, Incorporated Po Box 66156 Baton Rouge LA 70896-6156 Ph: () - | Capitol City Family Health Center, Incorporated 8730 Youree Dr Ste A-b Shreveport LA 71115-2500 Ph: (318) 408-1505 |
| NPI Number | 1962154542 |
|---|---|
| Provider Enumeration Date | 01/25/2022 |
| Last Update Date | 01/25/2022 |
| Medicare PECOS PAC ID | 5193639151 |
|---|---|
| Medicare Enrollment ID | O20220223001397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962154542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Hs Louisiana, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Suite 5-303, Shreveport, LA 71103 Phone: 904-834-2679 Fax: 904-395-3249 | |
Wk Digestive Disease Consultants Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2508 Bert Koun Loop, Sutie 304, Shreveport, LA 71118 Phone: 318-671-8880 Fax: 318-671-8879 | |
Andrew Dentino Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2551 Greenwood Rd, Suite 310, Shreveport, LA 71103 Phone: 318-212-8780 Fax: 318-212-8181 | |
Paul S Wilson Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1666 E Bert Kouns Industrial Loop, Suite 230, Shreveport, LA 71105 Phone: 318-212-3970 Fax: 318-212-3975 | |
Maurie Patterson Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8001 Youree Dr, Suite 400, Shreveport, LA 71115 Phone: 318-212-3456 Fax: 318-212-3885 | |
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