| Rural Health Clinic Of Loreauville Llc | |
|
411 South Main St. Loreauville LA 70552 | |
| (337) 229-8288 | |
| Not Available |
| Full Name | Rural Health Clinic Of Loreauville Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 411 South Main St., Loreauville, Louisiana |
| Authorized Official Name and Position | Brock J Romero (SOLE MEMBER) |
| Authorized Official Contact | 3372298288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Health Clinic Of Loreauville Llc Po Box 278 Loreauville LA 70552-0278 Ph: (337) 229-8288 | Rural Health Clinic Of Loreauville Llc 411 South Main St. Loreauville LA 70552 Ph: (337) 229-8288 |
| NPI Number | 1508206020 |
|---|---|
| Provider Enumeration Date | 06/28/2013 |
| Last Update Date | 11/03/2022 |
| Medicare PECOS PAC ID | 8628294071 |
|---|---|
| Medicare Enrollment ID | O20140722000465 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508206020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Louisiana) | Primary |
| Provider Name | Patrick S Baquet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326078577 PECOS PAC ID: 8022914555 Enrollment ID: I20031208000394 |
| Provider Name | Brock Jude Romero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841576477 PECOS PAC ID: 7911171152 Enrollment ID: I20111128000055 |
James R Romero Md A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 S Main Street, Loreauville, LA 70552 Phone: 337-229-4214 Fax: 337-229-4065 |