| Community First Primary Care LLC | |
|
1680 Benton Ln Denham Springs LA 70726-4516 | |
| (225) 421-6704 | |
| Not Available |
| Full Name | Community First Primary Care LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 1680 Benton Ln, Denham Springs, Louisiana |
| Authorized Official Name and Position | Kristin Manuel (OWNER/PROVIDER) |
| Authorized Official Contact | 2254216704 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community First Primary Care LLC 30940 Dunn Rd Denham Springs LA 70726-1565 | Community First Primary Care LLC 1680 Benton Ln Denham Springs LA 70726-4516 Ph: (225) 421-6704 |
| NPI Number | 1467309013 |
|---|---|
| Provider Enumeration Date | 03/12/2026 |
| Last Update Date | 03/17/2026 |
| Certification Date | 03/17/2026 |
| Medicare PECOS PAC ID | 1052886769 |
|---|---|
| Medicare Enrollment ID | O20260410000401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467309013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| Provider Name | Kristin King Manuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245017094 PECOS PAC ID: 7012360712 Enrollment ID: I20240130000784 |
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