| Pediatrics Primary Care Clinic Llc | |
|
11098 Highway 165 S Forest Hill LA 71430-9789 | |
| (318) 368-1236 | |
| Not Available |
| Full Name | Pediatrics Primary Care Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11098 Highway 165 S, Forest Hill, Louisiana |
| Authorized Official Name and Position | Kelly Collins (OWNER) |
| Authorized Official Contact | 3187942428 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatrics Primary Care Clinic Llc Po Box 457 Forest Hill LA 71430-0457 Ph: (318) 794-2428 | Pediatrics Primary Care Clinic Llc 11098 Highway 165 S Forest Hill LA 71430-9789 Ph: (318) 368-1236 |
| NPI Number | 1962130443 |
|---|---|
| Provider Enumeration Date | 08/11/2022 |
| Last Update Date | 01/18/2024 |
| Medicare PECOS PAC ID | 2567835648 |
|---|---|
| Medicare Enrollment ID | O20230310002538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962130443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Progressive Acute Care Oakdale, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11424 Hwy 165 South, Forest Hill, LA 71430 Phone: 318-748-4645 Fax: 318-748-4689 | |
Winn Community Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15 Highway 497, Forest Hill, LA 71430 Phone: 318-648-0375 |