| West Louisiana Family Practice-deridder | |
|
412 S Pine St Deridder LA 70634-4840 | |
| (337) 462-5700 | |
| (337) 462-6856 |
| Full Name | West Louisiana Family Practice-deridder |
|---|---|
| Speciality | Clinic/Center |
| Location | 412 S Pine St, Deridder, Louisiana |
| Authorized Official Name and Position | Donald E. Cameron (BOARD MEMBER) |
| Authorized Official Contact | 3182268202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Louisiana Family Practice-deridder 1020 W Fertitta Blvd Leesville LA 71446-4645 Ph: (337) 239-9401 | West Louisiana Family Practice-deridder 412 S Pine St Deridder LA 70634-4840 Ph: (337) 462-5700 |
| NPI Number | 1831659333 |
|---|---|
| Provider Enumeration Date | 03/21/2019 |
| Last Update Date | 03/16/2023 |
| Certification Date | 03/16/2023 |
| Medicare PECOS PAC ID | 4082963301 |
|---|---|
| Medicare Enrollment ID | O20190503001393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831659333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
Imperial Health LLP Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 W 5th St, Deridder, LA 70634 Phone: 337-202-7850 |
Davenport Family Medical Clinic LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 W 6th St, Deridder, LA 70634 Phone: 337-460-0690 Fax: 337-460-0961 |
Calcasieu Urgent Care LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1017 N Pine St, Deridder, LA 70634 Phone: 337-202-4101 |
Beauregard Medical and Surgical Center, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 S Washington St, Deridder, LA 70634 Phone: 337-462-7409 Fax: 337-462-7479 |
Beauregard Parish School Board Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 W 3rd St, Deridder, LA 70634 Phone: 337-463-5551 |
Kufoy Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 311 S Pine St, Deridder, LA 70634 Phone: 337-463-3500 Fax: 337-463-3526 |