| Hospital Service District No 1 Parish Of Avoyelles State Of La | |
|
109 N Lexington Ave Bunkie LA 71322-1619 | |
| (318) 346-7283 | |
| Not Available |
| Full Name | Hospital Service District No 1 Parish Of Avoyelles State Of La |
|---|---|
| Speciality | Clinic/Center |
| Location | 109 N Lexington Ave, Bunkie, Louisiana |
| Authorized Official Name and Position | Latrice Williams (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 3183466681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospital Service District No 1 Parish Of Avoyelles State Of La Po Box 380 Bunkie LA 71322-0380 Ph: (318) 346-7283 | Hospital Service District No 1 Parish Of Avoyelles State Of La 109 N Lexington Ave Bunkie LA 71322-1619 Ph: (318) 346-7283 |
| NPI Number | 1811942279 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 11/09/2017 |
| Medicare PECOS PAC ID | 3375440910 |
|---|---|
| Medicare Enrollment ID | O20100618000760 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811942279 | NPI | - | NPPES |
| 1943762 | Medicaid | LA | |
| 184RHC-1 | Other | LA | STATE LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 184RHC-1 (Louisiana) | Primary |
Hospital Service District No 1 Parish Of Avoyelles State Of Louisiana Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 510 S Cottonwood St, Bunkie, LA 71322 Phone: 318-346-3339 | |
Avoyelles Primary Health And Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1007 Shirley Rd, Bunkie, LA 71322 Phone: 318-346-7746 |