| Calcasieu Cameron Hospital Service District | |
|
1611 Hampton St Vinton LA 70668-3707 | |
| (337) 589-5951 | |
| (337) 589-4013 |
| Full Name | Calcasieu Cameron Hospital Service District |
|---|---|
| Speciality | Clinic/Center |
| Location | 1611 Hampton St, Vinton, Louisiana |
| Authorized Official Name and Position | Janie Fruge (CEO) |
| Authorized Official Contact | 3375274241 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calcasieu Cameron Hospital Service District 1611 Hampton St Vinton LA 70668-3707 Ph: (337) 589-5951 | Calcasieu Cameron Hospital Service District 1611 Hampton St Vinton LA 70668-3707 Ph: (337) 589-5951 |
| NPI Number | 1316924400 |
|---|---|
| Provider Enumeration Date | 12/29/2005 |
| Last Update Date | 09/27/2016 |
| Medicare PECOS PAC ID | 1052221447 |
|---|---|
| Medicare Enrollment ID | O20040318000265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316924400 | NPI | - | NPPES |
| 1942502 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 097 (Louisiana) | Primary |
Thibodeaux Medical Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1303 Horridge St, Vinton, LA 70668 Phone: 337-324-8060 Fax: 337-324-8061 |