| One Source Medical Management, Inc. | |
|
2933 Cypress St Ste 1 West Monroe LA 71291 | |
| (318) 322-9252 | |
| Not Available |
| Full Name | One Source Medical Management, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 2933 Cypress St Ste 1, West Monroe, Louisiana |
| Authorized Official Name and Position | Donna Saterfiel (CEO) |
| Authorized Official Contact | 3183229252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| One Source Medical Management, Inc. Po Box 2673 West Monroe LA 71294-2673 Ph: (318) 322-9252 | One Source Medical Management, Inc. 2933 Cypress St Ste 1 West Monroe LA 71291 Ph: (318) 322-9252 |
| NPI Number | 1982670923 |
|---|---|
| Provider Enumeration Date | 02/28/2006 |
| Last Update Date | 09/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982670923 | NPI | - | NPPES |
| 1443557 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 261Q00000X | Clinic/center | () | Primary |
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