| St Joseph Medical Clinic A Medical Corporation | |
|
22080 La Hwy 20 Vacherie LA 70090-0069 | |
| (225) 265-3061 | |
| (225) 265-3062 |
| Full Name | St Joseph Medical Clinic A Medical Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 22080 La Hwy 20, Vacherie, Louisiana |
| Authorized Official Name and Position | Raja S Talluri (PRESIDENT) |
| Authorized Official Contact | 2252653061 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Joseph Medical Clinic A Medical Corporation Po Box 69 Vacherie LA 70090-0069 Ph: (225) 265-3061 | St Joseph Medical Clinic A Medical Corporation 22080 La Hwy 20 Vacherie LA 70090-0069 Ph: (225) 265-3061 |
| NPI Number | 1255348843 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9335189109 |
|---|---|
| Medicare Enrollment ID | O20050511000427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255348843 | NPI | - | NPPES |
| 1449792 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 098 (Louisiana) | Primary |
Gapp Health, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1108 Saint James St, Vacherie, LA 70090 Phone: 225-265-4087 Fax: 225-265-4006 | |
Access Health Louisiana Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3125 Valcour Aime St, Vacherie, LA 70090 Phone: 866-530-6111 | |
Sarat K Donepudi Md Apmc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21420 Highway 20, Vacherie, LA 70090 Phone: 225-265-3013 Fax: 225-265-3775 | |
St James Parish Hosp. Serv. Dist. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21420 Highway 20, Vacherie, LA 70090 Phone: 225-265-3013 | |
Teche Action Board, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 22187 Highway 20, Vacherie, LA 70090 Phone: 225-258-4980 | |
Roland S. Waguespack Md Apmc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1108 Saint James St, Vacherie, LA 70090 Phone: 225-265-4087 Fax: 225-265-4006 |