| Open Health Care Clinic | |
|
751 W Oak Ave Eunice LA 70535-5252 | |
| (225) 655-6422 | |
| (225) 341-5903 |
| Full Name | Open Health Care Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 751 W Oak Ave, Eunice, Louisiana |
| Authorized Official Name and Position | Tim Young (PRESIDENT AND CEO) |
| Authorized Official Contact | 2254241800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Health Care Clinic 9516 Airline Hwy Baton Rouge LA 70815-5501 Ph: (225) 655-6422 | Open Health Care Clinic 751 W Oak Ave Eunice LA 70535-5252 Ph: (225) 655-6422 |
| NPI Number | 1134908437 |
|---|---|
| Provider Enumeration Date | 09/26/2023 |
| Last Update Date | 09/26/2023 |
| Certification Date | 09/26/2023 |
| Medicare PECOS PAC ID | 4880981158 |
|---|---|
| Medicare Enrollment ID | O20231011003893 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134908437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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