| Mcms, LLC | |
|
17625 Wisdom Dr Baker LA 70714-1536 | |
| (225) 505-5217 | |
| (225) 658-0099 |
| Full Name | Mcms, LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 17625 Wisdom Dr, Baker, Louisiana |
| Authorized Official Name and Position | Mary Maxine Mccrary (OWNER) |
| Authorized Official Contact | 2255055217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcms, LLC 17625 Wisdom Dr Baker LA 70714-1536 Ph: (225) 505-5217 | Mcms, LLC 17625 Wisdom Dr Baker LA 70714-1536 Ph: (225) 505-5217 |
| NPI Number | 1699177345 |
|---|---|
| Provider Enumeration Date | 09/24/2014 |
| Last Update Date | 09/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699177345 | NPI | - | NPPES |
| 2372041 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | AP07509 (Louisiana) | Primary |
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