| Rkm Primary Care | |
|
11990 Jackson Street Clinton LA 70722-3210 | |
| (225) 683-5292 | |
| (225) 683-3411 |
| Full Name | Rkm Primary Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 11990 Jackson Street, Clinton, Louisiana |
| Authorized Official Name and Position | Ginger a Hunt (CEO) |
| Authorized Official Contact | 2256835292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rkm Primary Care P.o. Box 395 Clinton LA 70722-0395 Ph: (225) 683-5292 | Rkm Primary Care 11990 Jackson Street Clinton LA 70722-3210 Ph: (225) 683-5292 |
| NPI Number | 1699878645 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 01/28/2021 |
| Certification Date | 01/28/2021 |
| Medicare PECOS PAC ID | 1052220985 |
|---|---|
| Medicare Enrollment ID | O20060209000284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699878645 | NPI | - | NPPES |
| 1450278 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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