| Chitimacha Tribe Of Louisiana | |
| 
					3231 Chitimacha Trail Charenton LA 70523-0661  | |
| (337) 923-9955 | |
| (337) 923-6848 | 
| Full Name | Chitimacha Tribe Of Louisiana | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 3231 Chitimacha Trail, Charenton, Louisiana | 
| Authorized Official Name and Position | Tricia Lynn Mora (DIRECTOR HEALTH AND HUMAN SERVICES) | 
| Authorized Official Contact | 3379239955 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Chitimacha Tribe Of Louisiana Po Box 640 Charenton LA 70523-0640 Ph: (337) 923-9955  | Chitimacha Tribe Of Louisiana 3231 Chitimacha Trail Charenton LA 70523-0661 Ph: (337) 923-9955  | 
| NPI Number | 1154477909 | 
|---|---|
| Provider Enumeration Date | 01/26/2007 | 
| Last Update Date | 06/20/2013 | 
| Medicare PECOS PAC ID | 5496645335 | 
|---|---|
| Medicare Enrollment ID | O20040316000965 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1154477909 | NPI | - | NPPES | 
| 1233978 | Medicaid | LA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261Q00000X | Clinic/center | 15134R (Louisiana) | Primary | 
| Provider Name | Charles R Parsiola | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1841281490 PECOS PAC ID: 2365434248 Enrollment ID: I20120531000402  | 
| Provider Name | Alexi Plaisance | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1265881379 PECOS PAC ID: 0042566283 Enrollment ID: I20201022000901  |