| Heritage Health, Llc | |
|
2629 N Causeway Blvd Mandeville LA 70471-6435 | |
| (985) 246-7874 | |
| Not Available |
| Full Name | Heritage Health, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2629 N Causeway Blvd, Mandeville, Louisiana |
| Authorized Official Name and Position | Daniel Kirk (CEO) |
| Authorized Official Contact | 9852467874 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Health, Llc 2629 N Causeway Blvd Mandeville LA 70471-6435 Ph: (985) 246-7874 | Heritage Health, Llc 2629 N Causeway Blvd Mandeville LA 70471-6435 Ph: (985) 246-7874 |
| NPI Number | 1780037143 |
|---|---|
| Provider Enumeration Date | 07/20/2016 |
| Last Update Date | 04/01/2021 |
| Medicare PECOS PAC ID | 8820367261 |
|---|---|
| Medicare Enrollment ID | O20170628002609 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780037143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Rachael M Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528039781 PECOS PAC ID: 0749222008 Enrollment ID: I20050526000196 |
| Provider Name | Cindy Marie Otillio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932640323 PECOS PAC ID: 8527333731 Enrollment ID: I20171013000250 |
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