| Iberville Charter Academy Satellite Clinic | |
|
24360 Enterprise Boulevard Plaquemine LA 70764 | |
| (225) 642-9676 | |
| (225) 642-9696 |
| Full Name | Iberville Charter Academy Satellite Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 24360 Enterprise Boulevard, Plaquemine, Louisiana |
| Authorized Official Name and Position | Marilyn B Antwine (COO) |
| Authorized Official Contact | 2256429676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iberville Charter Academy Satellite Clinic Po Box 209 Saint Gabriel LA 70776-0209 Ph: (225) 642-9676 | Iberville Charter Academy Satellite Clinic 24360 Enterprise Boulevard Plaquemine LA 70764 Ph: (225) 642-9676 |
| NPI Number | 1356718662 |
|---|---|
| Provider Enumeration Date | 08/24/2015 |
| Last Update Date | 08/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356718662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Ochsner Health Center - Plaquemine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24730 Plaza Dr, Plaquemine, LA 70764 Phone: 225-687-0248 | |
Westside Family Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 58155 Chinn St, Suite B, Plaquemine, LA 70764 Phone: 225-687-8838 Fax: 225-687-8836 | |
Physicians Imaging - Iberville Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 59295 River West Drive, Suite D, Plaquemine, LA 70764 Phone: 225-238-0034 Fax: 225-238-0064 | |
Iberville Parish School Board Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 58030 Plaquemine St, Plaquemine, LA 70764 Phone: 225-749-2360 | |
Dean Medical Care, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 59325 River West Dr., Suite B, Plaquemine, LA 70764 Phone: 225-687-9700 Fax: 225-687-2999 | |
Iberville Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 59295 River West Dr Ste C, Plaquemine, LA 70764 Phone: 225-687-2001 Fax: 225-687-9519 |