| Independence Medical Clinic, Llc | |
| 
					281 W 4th St Independence LA 70443-2386  | |
| (504) 338-4268 | |
| Not Available | 
| Full Name | Independence Medical Clinic, Llc | 
|---|---|
| Speciality | General Practice | 
| Location | 281 W 4th St, Independence, Louisiana | 
| Authorized Official Name and Position | Edmond Wood (OWNER) | 
| Authorized Official Contact | 5043384268 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Independence Medical Clinic, Llc 7300 Lakeshore Dr Apt 10 New Orleans LA 70124-2462 Ph: (504) 338-4268  | Independence Medical Clinic, Llc 281 W 4th St Independence LA 70443-2386 Ph: (504) 338-4268  | 
| NPI Number | 1669897609 | 
|---|---|
| Provider Enumeration Date | 02/27/2014 | 
| Last Update Date | 07/10/2014 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1669897609 | NPI | - | NPPES | 
| 1910864 | Medicaid | LA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary | 
Southeast Community Health Systems Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 55420 N. Railroad Avenue, Independence, LA 70443 Phone: 225-306-2000  | |
Southeast Community Health Systems Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 336 East Railroad Avenue, Independence, LA 70443 Phone: 888-414-7247  | |
Multipractice Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 281 W 4th St, Independence, LA 70443 Phone: 985-878-0066 Fax: 985-878-0969  | |
Primary Care Providers For A Healthy Feliciana Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 Tiger Ave, Independence, LA 70443 Phone: 225-683-5292 Fax: 225-683-1310  | |
Calcasieu Urgent Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 387 W Railroad Ave, Independence, LA 70443 Phone: 931-256-1110 Fax: 931-722-9919  | |
Independence Family Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 312 E Railroad Ave, Independence, LA 70443 Phone: 985-878-4183  |