| The Medical Office Of Mangham | |
|
261 Highway 132 Mangham LA 71259-5269 | |
| (318) 248-2807 | |
| (318) 248-2967 |
| Full Name | The Medical Office Of Mangham |
|---|---|
| Speciality | Clinic/Center |
| Location | 261 Highway 132, Mangham, Louisiana |
| Authorized Official Name and Position | Robyn Hemphill (CEO) |
| Authorized Official Contact | 3188129500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Medical Office Of Mangham Po Box 51193 Lafayette LA 70505-1193 Ph: (318) 248-2807 | The Medical Office Of Mangham 261 Highway 132 Mangham LA 71259-5269 Ph: (318) 248-2807 |
| NPI Number | 1871153379 |
|---|---|
| Provider Enumeration Date | 06/17/2019 |
| Last Update Date | 06/18/2019 |
| Medicare PECOS PAC ID | 5294725297 |
|---|---|
| Medicare Enrollment ID | O20191210000678 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871153379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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