| St. Landry Family Healthcare Llc | |
|
536 Veterans Blvd Washington LA 70589-4263 | |
| (337) 826-7702 | |
| (337) 623-5788 |
| Full Name | St. Landry Family Healthcare Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 536 Veterans Blvd, Washington, Louisiana |
| Authorized Official Name and Position | Ashley Fontenot (CEO) |
| Authorized Official Contact | 3373639486 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Landry Family Healthcare Llc Po Box 51266 Lafayette LA 70505-1266 Ph: (337) 233-1307 | St. Landry Family Healthcare Llc 536 Veterans Blvd Washington LA 70589-4263 Ph: (337) 826-7702 |
| NPI Number | 1376911735 |
|---|---|
| Provider Enumeration Date | 09/02/2015 |
| Last Update Date | 04/11/2025 |
| Medicare PECOS PAC ID | 8729382346 |
|---|---|
| Medicare Enrollment ID | O20160202001428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376911735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Dixon Family Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 536 St. Landry Veterans Memorial Hwy., Washington, LA 70589 Phone: 337-628-5014 Fax: 337-826-5401 |