| Clifton Elementary Sbhc | |
|
100 N Prater Lake Charles LA 70601 | |
| (337) 439-0880 | |
| (337) 439-5029 |
| Full Name | Clifton Elementary Sbhc |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 100 N Prater, Lake Charles, Louisiana |
| Authorized Official Name and Position | Stephen F. Wright (PRESIDENT & CEO) |
| Authorized Official Contact | 3185617192 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clifton Elementary Sbhc 100 N. Prater Lake Charles LA 70601 Ph: (337) 439-0880 | Clifton Elementary Sbhc 100 N Prater Lake Charles LA 70601 Ph: (337) 439-0880 |
| NPI Number | 1710191473 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 08/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710191473 | NPI | - | NPPES |
| 1447731 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | () | Primary |
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