| Zwolle Medical Clinic | |
|
2114 Obrie Street Zwolle LA 71486-1068 | |
| (318) 645-4484 | |
| (318) 645-9139 |
| Full Name | Zwolle Medical Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2114 Obrie Street, Zwolle, Louisiana |
| Authorized Official Name and Position | Garland Dupree Miller (PRESIDENT) |
| Authorized Official Contact | 3186454484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zwolle Medical Clinic Po Box 1068 Zwolle LA 71486-1068 Ph: (318) 645-4484 | Zwolle Medical Clinic 2114 Obrie Street Zwolle LA 71486-1068 Ph: (318) 645-4484 |
| NPI Number | 1124149307 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124149307 | NPI | - | NPPES |
| 1321702 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 16359 (Louisiana) | Primary |
Ashley Ridge Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1015 Obrie St, Zwolle, LA 71486 Phone: 318-645-6161 Fax: 318-645-6168 | |
Desoto Regional Health System Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2026 Obrie Street, Zwolle, LA 71486 Phone: 318-645-6013 | |
Zwolle Express Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 Obrie St, Zwolle, LA 71486 Phone: 318-645-6168 Fax: 318-645-6168 |