| Flood Family Medical Center, Llc | |
|
16282 N Galvez Ave Prairieville LA 70769-5980 | |
| (225) 803-0898 | |
| Not Available |
| Full Name | Flood Family Medical Center, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 16282 N Galvez Ave, Prairieville, Louisiana |
| Authorized Official Name and Position | Jarrett Flood (CEO) |
| Authorized Official Contact | 2258030898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Flood Family Medical Center, Llc 16282 N Galvez Ave Prairieville LA 70769-5980 Ph: () - | Flood Family Medical Center, Llc 16282 N Galvez Ave Prairieville LA 70769-5980 Ph: (225) 803-0898 |
| NPI Number | 1699139147 |
|---|---|
| Provider Enumeration Date | 04/11/2016 |
| Last Update Date | 04/11/2016 |
| Medicare PECOS PAC ID | 1456641125 |
|---|---|
| Medicare Enrollment ID | O20160608001748 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699139147 | NPI | - | NPPES |
| 100299 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 204208 (Louisiana) | Primary |
| Provider Name | Ericka T Flood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346419462 PECOS PAC ID: 5193911618 Enrollment ID: I20101123000930 |
| Provider Name | Tori E Naquin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437575180 PECOS PAC ID: 9537384581 Enrollment ID: I20140707000821 |
| Provider Name | Kady A Lato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124485776 PECOS PAC ID: 9830487362 Enrollment ID: I20161015000035 |
| Provider Name | Lauren O Landry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205451556 PECOS PAC ID: 0042638447 Enrollment ID: I20200917000291 |
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