| Wards 3, 4 & 10 Hospital Service District Parish Of Union | |
|
402 2nd Street Bernice LA 71222-0302 | |
| (318) 285-9066 | |
| (318) 285-9065 |
| Full Name | Wards 3, 4 & 10 Hospital Service District Parish Of Union |
|---|---|
| Speciality | Clinic/Center |
| Location | 402 2nd Street, Bernice, Louisiana |
| Authorized Official Name and Position | Robin G Adams (DIRECTOR OF BUSINESS SERVICES) |
| Authorized Official Contact | 3182859066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wards 3, 4 & 10 Hospital Service District Parish Of Union Po Box 302 Bernice LA 71222-0302 Ph: (318) 285-9066 | Wards 3, 4 & 10 Hospital Service District Parish Of Union 402 2nd Street Bernice LA 71222-0302 Ph: (318) 285-9066 |
| NPI Number | 1669431847 |
|---|---|
| Provider Enumeration Date | 03/17/2006 |
| Last Update Date | 12/19/2013 |
| Medicare PECOS PAC ID | 8123011137 |
|---|---|
| Medicare Enrollment ID | O20100505000294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669431847 | NPI | - | NPPES |
| 1946044 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 215RHC-1 (Louisiana) | Primary |
Ward 3 4 & 10 Hospital Service District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 409 First Street, Bernice, LA 71222 Phone: 318-285-9066 Fax: 318-285-7234 | |
Bernice Medical Associates,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 Second St., Bernice, LA 71222 Phone: 318-285-9066 Fax: 318-285-9065 |