| Dove Family Clinic, Inc | |
| 
					1109 7th Avenue Glenmora LA 71433-7143  | |
| (318) 579-8019 | |
| (318) 656-3181 | 
| Full Name | Dove Family Clinic, Inc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 1109 7th Avenue, Glenmora, Louisiana | 
| Authorized Official Name and Position | Darlinda Theresa Dove (FAMILY NURSE PRACTITIONER) | 
| Authorized Official Contact | 3183086390 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dove Family Clinic, Inc 702 Woodwind Dr Alexandria LA 71303-3889 Ph: (318) 308-6390  | Dove Family Clinic, Inc 1109 7th Avenue Glenmora LA 71433-7143 Ph: (318) 579-8019  | 
| NPI Number | 1093438004 | 
|---|---|
| Provider Enumeration Date | 09/23/2022 | 
| Last Update Date | 09/26/2022 | 
| Medicare PECOS PAC ID | 5092184176 | 
|---|---|
| Medicare Enrollment ID | O20221212002697 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1093438004 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
| Provider Name | Darlinda Dove | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1003329871 PECOS PAC ID: 9133480015 Enrollment ID: I20180312000708  | 
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