| Start Corporation | |
|
312 E Bayou Rd Thibodaux LA 70301 | |
| (985) 446-5244 | |
| Not Available |
| Full Name | Start Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 312 E Bayou Rd, Thibodaux, Louisiana |
| Authorized Official Name and Position | Catherine Felarise (VICE PRESIDENT OF COMPLIANCE) |
| 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: (985) 333-2020 | Start Corporation 312 E Bayou Rd Thibodaux LA 70301 Ph: (985) 446-5244 |
| NPI Number | 1609510411 |
|---|---|
| Provider Enumeration Date | 04/27/2022 |
| Last Update Date | 04/27/2022 |
| Certification Date | 04/11/2022 |
| Medicare PECOS PAC ID | 0749403517 |
|---|---|
| Medicare Enrollment ID | O20220721003000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609510411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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