| Family Healthcare Clinic, Apmc | |
|
1117 N Main St Ste B Saint Martinville LA 70582-3513 | |
| (337) 394-7111 | |
| (337) 394-8105 |
| Full Name | Family Healthcare Clinic, Apmc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1117 N Main St Ste B, Saint Martinville, Louisiana |
| Authorized Official Name and Position | Daniel Wiltz (PRESIDENT) |
| Authorized Official Contact | 3373947111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Healthcare Clinic, Apmc 1117 N Main St Ste B Saint Martinville LA 70582-3513 Ph: (337) 394-7111 | Family Healthcare Clinic, Apmc 1117 N Main St Ste B Saint Martinville LA 70582-3513 Ph: (337) 394-7111 |
| NPI Number | 1437341278 |
|---|---|
| Provider Enumeration Date | 08/15/2007 |
| Last Update Date | 08/15/2007 |
| Medicare PECOS PAC ID | 5597720508 |
|---|---|
| Medicare Enrollment ID | O20100528000194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437341278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 023274 (Louisiana) | Primary |
| Provider Name | Daniel Wiltz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184644254 PECOS PAC ID: 8426010463 Enrollment ID: I20100528000250 |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Saint Martin St, Saint Martinville, LA 70582 Phone: 337-394-3071 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 S Main St Ste 230, Saint Martinville, LA 70582 Phone: 833-784-2669 Fax: 844-784-2329 | |
Dr K Fournet Etalptr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 N Main St, Saint Martinville, LA 70582 Phone: 337-394-5507 Fax: 337-394-5508 |