| Gordon B Massengale A Medical Corp | |
|
111 Christian Dr Rayville LA 71269-3658 | |
| (318) 728-3263 | |
| (318) 728-3095 |
| Full Name | Gordon B Massengale A Medical Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 111 Christian Dr, Rayville, Louisiana |
| Authorized Official Name and Position | Gordon B Massengale (PRESIDENT) |
| Authorized Official Contact | 3187283263 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon B Massengale A Medical Corp Po Box 960 Rayville LA 71269-0960 Ph: (318) 728-3263 | Gordon B Massengale A Medical Corp 111 Christian Dr Rayville LA 71269-3658 Ph: (318) 728-3263 |
| NPI Number | 1154642015 |
|---|---|
| Provider Enumeration Date | 06/15/2010 |
| Last Update Date | 06/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154642015 | NPI | - | NPPES |
| 1160717 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 012197 (Louisiana) | Primary |
Bayou Md, Lc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 990 Highway 425, Rayville, LA 71269 Phone: 888-923-6363 Fax: 888-923-6363 | |
Richland Parish Hospital Service District No 1-b Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 256 Highway 3048, Rayville, LA 71269 Phone: 318-728-2046 Fax: 318-728-9371 | |
Rayville Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1962 Julia St, Rayville, LA 71269 Phone: 318-728-8833 Fax: 318-728-6183 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 708 Julia St Ste 200, Rayville, LA 71269 Phone: 833-784-2669 Fax: 844-784-2329 | |
Richland Parish Hospital Service District No. 1-b Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Ellington Dr, Rayville, LA 71269 Phone: 318-728-4181 | |
Richardson Medical Center School Based Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 Hwy 3048, Rayville, LA 71269 Phone: 318-728-4181 |