| Vidalia Community Health Center | |
|
900 Carter St Ste A Vidalia LA 71373-3208 | |
| (318) 766-1967 | |
| Not Available |
| Full Name | Vidalia Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 900 Carter St Ste A, Vidalia, Louisiana |
| Authorized Official Name and Position | Dawn C Johnson (OFFICE MANAGER) |
| Authorized Official Contact | 3187661967 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vidalia Community Health Center Po Box 46 Saint Joseph LA 71366-0046 Ph: (318) 766-1967 | Vidalia Community Health Center 900 Carter St Ste A Vidalia LA 71373-3208 Ph: (318) 766-1967 |
| NPI Number | 1235600990 |
|---|---|
| Provider Enumeration Date | 12/06/2018 |
| Last Update Date | 04/30/2020 |
| Medicare PECOS PAC ID | 4385657139 |
|---|---|
| Medicare Enrollment ID | O20200603002837 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235600990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Seki Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1812 Carter St, Vidalia, LA 71373 Phone: 318-336-7072 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4001 Carter St Rm 7, Vidalia, LA 71373 Phone: 318-336-5231 | |
Riverpark Primary Health Clinic, Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Front Street, Vidalia, LA 71373 Phone: 318-336-2218 Fax: 318-336-6066 | |
Concordia Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Carter St, Suite A, Vidalia, LA 71373 Phone: 318-336-4780 Fax: 318-336-4783 | |
Pediatric & Adolescent Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1806 Carter Street, Vidalia, LA 71373 Phone: 318-336-7172 Fax: 318-336-7172 | |
Riverpark Community Cath Lab, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Front St, Vidalia, LA 71373 Phone: 601-445-1703 Fax: 601-445-6726 |