| Earley Healthcare | |
|
903 Warren Dr Ste B West Monroe LA 71291-7158 | |
| (318) 600-3456 | |
| (318) 600-3364 |
| Full Name | Earley Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 903 Warren Dr Ste B, West Monroe, Louisiana |
| Authorized Official Name and Position | Keife Earley (COO) |
| Authorized Official Contact | 3186003456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Earley Healthcare 903 Warren Dr Ste B West Monroe LA 71291-7158 Ph: (318) 600-3456 | Earley Healthcare 903 Warren Dr Ste B West Monroe LA 71291-7158 Ph: (318) 600-3456 |
| NPI Number | 1174291132 |
|---|---|
| Provider Enumeration Date | 09/02/2021 |
| Last Update Date | 11/15/2021 |
| Medicare PECOS PAC ID | 7618367806 |
|---|---|
| Medicare Enrollment ID | O20211202000093 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174291132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Lacresha Clay Earley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346867785 PECOS PAC ID: 9032535182 Enrollment ID: I20200819002859 |
| Provider Name | Keife Earley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043988108 PECOS PAC ID: 9436549623 Enrollment ID: I20220211000178 |
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