| Start Corporation | |
|
235 Civic Center Blvd Houma LA 70360-5937 | |
| (985) 879-3966 | |
| (985) 872-4473 |
| Full Name | Start Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 235 Civic Center Blvd, Houma, Louisiana |
| Authorized Official Name and Position | Catherine Broussard (COMPLIANCE COORDINATOR) |
| Authorized Official Contact | 9853332020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Start Corporation Po Box 165 Houma LA 70361-0165 Ph: () - | Start Corporation 235 Civic Center Blvd Houma LA 70360-5937 Ph: (985) 879-3966 |
| NPI Number | 1831692540 |
|---|---|
| Provider Enumeration Date | 03/09/2018 |
| Last Update Date | 11/28/2018 |
| Medicare PECOS PAC ID | 0749403517 |
|---|---|
| Medicare Enrollment ID | O20180821000240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831692540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Louisiana) | Primary |
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