| Jena Band Of Choctaw Indians | |
|
906 Lapali Hina St Trout LA 71371-3508 | |
| (318) 992-2763 | |
| (318) 992-4162 |
| Full Name | Jena Band Of Choctaw Indians |
|---|---|
| Speciality | Family Medicine |
| Location | 906 Lapali Hina St, Trout, Louisiana |
| Authorized Official Name and Position | Ashley K Liles (BEHAVIORAL HEALTH DIRECTOR-PROVIDER) |
| Authorized Official Contact | 3182332257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jena Band Of Choctaw Indians Po Box 14 Jena LA 71342-0014 Ph: (318) 922-0136 | Jena Band Of Choctaw Indians 906 Lapali Hina St Trout LA 71371-3508 Ph: (318) 992-2763 |
| NPI Number | 1942751201 |
|---|---|
| Provider Enumeration Date | 10/20/2016 |
| Last Update Date | 04/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942751201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |