| Start Community Clinic | |
|
5975 Federal 80 Hwy Rayville LA 71269-7750 | |
| (318) 728-4368 | |
| (318) 728-4397 |
| Full Name | Start Community Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 5975 Federal 80 Hwy, Rayville, Louisiana |
| Authorized Official Name and Position | James Barrett (ADMINISTRATOR) |
| Authorized Official Contact | 3187284181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Start Community Clinic 5975 Federal 80 Hwy Rayville LA 71269-7750 Ph: (318) 728-4368 | Start Community Clinic 5975 Federal 80 Hwy Rayville LA 71269-7750 Ph: (318) 728-4368 |
| NPI Number | 1538595749 |
|---|---|
| Provider Enumeration Date | 09/19/2013 |
| Last Update Date | 08/18/2017 |
| Medicare PECOS PAC ID | 2163481599 |
|---|---|
| Medicare Enrollment ID | O20131211000063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538595749 | NPI | - | NPPES |
| 1450791 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 211RHC2 (Louisiana) | Primary |
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