| Maringouin Medical Center, Llc | |
|
77695 Wagley Rd Maringouin LA 70757-0098 | |
| (225) 625-2313 | |
| (225) 625-2424 |
| Full Name | Maringouin Medical Center, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 77695 Wagley Rd, Maringouin, Louisiana |
| Authorized Official Name and Position | Kellie Bertrand (OWNER) |
| Authorized Official Contact | 2256252313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maringouin Medical Center, Llc Po Box 98 Maringouin LA 70757-0098 Ph: (225) 625-2313 | Maringouin Medical Center, Llc 77695 Wagley Rd Maringouin LA 70757-0098 Ph: (225) 625-2313 |
| NPI Number | 1275716078 |
|---|---|
| Provider Enumeration Date | 12/14/2007 |
| Last Update Date | 12/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275716078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Innis Community Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1653 Valverda Rd, Maringouin, LA 70757 Phone: 225-492-3775 | |
Innis Community Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 77575 Landry Drive, Maringouin, LA 70757 Phone: 225-625-2105 Fax: 225-625-2109 |