| Gulf Coast Wound Care LLC | |
|
10 Laurelwood Dr Covington LA 70433-4727 | |
| (985) 273-0233 | |
| Not Available |
| Full Name | Gulf Coast Wound Care LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 10 Laurelwood Dr, Covington, Louisiana |
| Authorized Official Name and Position | Christina Hastings (OWNER) |
| Authorized Official Contact | 9852730233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Wound Care LLC 10 Laurelwood Dr Covington LA 70433-4727 | Gulf Coast Wound Care LLC 10 Laurelwood Dr Covington LA 70433-4727 Ph: (985) 273-0233 |
| NPI Number | 1821882820 |
|---|---|
| Provider Enumeration Date | 04/07/2025 |
| Last Update Date | 09/03/2026 |
| Certification Date | 09/03/2026 |
| Medicare PECOS PAC ID | 8820515695 |
|---|---|
| Medicare Enrollment ID | O20250506000322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821882820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Christina Hastings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205244506 PECOS PAC ID: 1355630740 Enrollment ID: I20160525002671 |
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