| St Elizabeth After Hours | |
|
1702 N Burnside Ave Suite B Gonzales LA 70737-5021 | |
| (225) 647-8511 | |
| (225) 644-5213 |
| Full Name | St Elizabeth After Hours |
|---|---|
| Speciality | Family Medicine |
| Location | 1702 N Burnside Ave, Gonzales, Louisiana |
| Authorized Official Name and Position | John F. Fraiche (CEO) |
| Authorized Official Contact | 2256478511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Elizabeth After Hours 2647 S Riverview Blvd Suite 100 Gonzales LA 70737-5021 Ph: (225) 647-8511 | St Elizabeth After Hours 1702 N Burnside Ave Suite B Gonzales LA 70737-5021 Ph: (225) 647-8511 |
| NPI Number | 1730111790 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 08/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730111790 | NPI | - | NPPES |
| 1440400 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 013784 (Louisiana) | Primary |
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