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 |
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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 |
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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 |
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Provider Enumeration Date | 10/20/2016 |
Last Update Date | 04/08/2025 |
Identifier | Type | State | Issuer |
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1942751201 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |