| Minden Medical Clinic of Haughton | |
|
170 Healthcare Plaza Haughton LA 71037 | |
| (318) 706-0022 | |
| (318) 706-0023 |
| Full Name | Minden Medical Clinic of Haughton |
|---|---|
| Speciality | Clinic/Center |
| Location | 170 Healthcare Plaza, Haughton, Louisiana |
| Authorized Official Name and Position | Shannon Dawn Brown (CLINIC DIRECTOR) |
| Authorized Official Contact | 3183827296 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minden Medical Clinic of Haughton 170 Healthcare Plaza Haughton LA 71037 | Minden Medical Clinic of Haughton 170 Healthcare Plaza Haughton LA 71037 Ph: (318) 706-0022 |
| NPI Number | 1699392589 |
|---|---|
| Provider Enumeration Date | 06/26/2020 |
| Last Update Date | 03/10/2022 |
| Certification Date | 03/10/2022 |
| Medicare PECOS PAC ID | 4789720004 |
|---|---|
| Medicare Enrollment ID | O20220328002370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699392589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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