| Wk Plain Dealing Medical Clinic | |
|
108 N Louisiana St Plain Dealing LA 71064-3446 | |
| (318) 326-7272 | |
| (318) 326-7282 |
| Full Name | Wk Plain Dealing Medical Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 108 N Louisiana St, Plain Dealing, Louisiana |
| Authorized Official Name and Position | Greg J Gavin (NETWORK ADMINISTRATOR) |
| Authorized Official Contact | 3183267272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wk Plain Dealing Medical Clinic Po Box 3038 Shreveport LA 71133-3038 Ph: (318) 212-8946 | Wk Plain Dealing Medical Clinic 108 N Louisiana St Plain Dealing LA 71064-3446 Ph: (318) 326-7272 |
| NPI Number | 1912939687 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 01/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912939687 | NPI | - | NPPES |
| 1948306 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
North Caddo Hospital Service District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 112 Forest Street, Plain Dealing, LA 71064 Phone: 318-326-7272 |