| Columbia Behavioral Health Clinic-medical | |
|
5159 Highway 4 E Columbia LA 71418-3580 | |
| (318) 649-2333 | |
| (318) 649-0149 |
| Full Name | Columbia Behavioral Health Clinic-medical |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5159 Highway 4 E, Columbia, Louisiana |
| Authorized Official Name and Position | Octavia Green (ADMINISTRATIVE PROGRAM SPECIALIST B) |
| Authorized Official Contact | 3183623270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Behavioral Health Clinic-medical 5159 Highway 4 E Columbia LA 71418-3580 Ph: (318) 649-2333 | Columbia Behavioral Health Clinic-medical 5159 Highway 4 E Columbia LA 71418-3580 Ph: (318) 649-2333 |
| NPI Number | 1467106344 |
|---|---|
| Provider Enumeration Date | 02/09/2022 |
| Last Update Date | 08/30/2023 |
| Certification Date | 08/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467106344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| 363LF0000X | Nurse Practitioner - Family | () | Secondary |
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