| Casse Community Health Institute - Bossier | |
|
2120 Airline Dr Bossier City LA 71111-3106 | |
| (318) 688-3350 | |
| (318) 688-3655 |
| Full Name | Casse Community Health Institute - Bossier |
|---|---|
| Speciality | Clinic/Center |
| Location | 2120 Airline Dr, Bossier City, Louisiana |
| Authorized Official Name and Position | Jeff Moody (C.O.O.) |
| Authorized Official Contact | 3186883350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Casse Community Health Institute - Bossier 2120 Bert Kouns Industrial Loop Ste A Shreveport LA 71118-3351 Ph: (318) 688-3350 | Casse Community Health Institute - Bossier 2120 Airline Dr Bossier City LA 71111-3106 Ph: (318) 688-3350 |
| NPI Number | 1275053506 |
|---|---|
| Provider Enumeration Date | 06/27/2017 |
| Last Update Date | 07/24/2020 |
| Medicare PECOS PAC ID | 8022043710 |
|---|---|
| Medicare Enrollment ID | O20170825000397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275053506 | NPI | - | NPPES |
| 2366866 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Bossier Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2539 Viking Dr Ste 101, Bossier City, LA 71111 Phone: 318-747-8100 Fax: 318-747-8151 | |
Rapid Care Of Bossier Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5015 Shed Rd, Suite 400, Bossier City, LA 71111 Phone: 318-584-7301 Fax: 318-741-4496 | |
Charles A Powers Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Hospital Dr, Suite 420, Bossier City, LA 71111 Phone: 318-212-7910 Fax: 318-212-7915 | |
Willow Chute Medical, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4910 Airline Dr, Bossier City, LA 71111 Phone: 318-349-3921 | |
Allen Cox Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2300 Hospital Dr, Suite 200, Bossier City, LA 71111 Phone: 318-212-7830 Fax: 318-212-7835 | |
Injurymd Of Bossier, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5015 Shed Rd Ste 500, Bossier City, LA 71111 Phone: 318-741-5858 Fax: 318-741-4496 | |
Wk Endocrine Specialists Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2449 Hospital Dr, Suite 400, Bossier City, LA 71111 Phone: 318-212-7902 Fax: 318-212-7905 |