| Minden Ladies Rural Health Clinic, Llc | |
|
427 Homer Rd Minden LA 71055-2933 | |
| (318) 377-8855 | |
| (318) 377-8804 |
| Full Name | Minden Ladies Rural Health Clinic, Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 427 Homer Rd, Minden, Louisiana |
| Authorized Official Name and Position | Penny M Foster (OFFICE MANAGER) |
| Authorized Official Contact | 3183778855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minden Ladies Rural Health Clinic, Llc 431 Homer Rd Minden LA 71055-2933 Ph: (318) 377-8855 | Minden Ladies Rural Health Clinic, Llc 427 Homer Rd Minden LA 71055-2933 Ph: (318) 377-8855 |
| NPI Number | 1164592960 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 08/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164592960 | NPI | - | NPPES |
| 1108294 | Medicaid | LA | |
| 19-3879 | Other | LA | MEDICARE CCN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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