| Coushatta Tribe Of Louisiana | |
|
2003 C C Bel Rd Elton LA 70532-5318 | |
| (337) 584-1439 | |
| (337) 584-1486 |
| Full Name | Coushatta Tribe Of Louisiana |
|---|---|
| Speciality | Pharmacy - Clinic Pharmacy |
| Location | 2003 C C Bel Rd, Elton, Louisiana |
| Authorized Official Name and Position | Ronald Christopher Fuselier (PHARMACIST IN CHARGE) |
| Authorized Official Contact | 3375841439 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coushatta Tribe Of Louisiana 2003 C C Bel Rd Elton LA 70532-5318 Ph: (337) 584-1439 | Coushatta Tribe Of Louisiana 2003 C C Bel Rd Elton LA 70532-5318 Ph: (337) 584-1439 |
| NPI Number | 1679038830 |
|---|---|
| Provider Enumeration Date | 02/01/2019 |
| Last Update Date | 05/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679038830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| 3336C0002X | Pharmacy - Clinic Pharmacy | (* (Not Available)) | Primary |
Savoy Medical Management Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 907 Main Street, Elton, LA 70532 Phone: 337-584-2237 Fax: 337-584-2148 | |
Rapides Healthcare System, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 907 Main St, Elton, LA 70532 Phone: 337-584-2237 Fax: 337-584-2148 | |
Coushatta Tribe Of Louisiana Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2003 C C Bel Rd, Elton, LA 70532 Phone: 337-584-1439 Fax: 337-584-1473 |