Vicksburg Clinic Llc
LBN: Vicksburg Clinic Llc
Vicksburg Clinic Llc is an health care organization with primary practice located at 10 Crothers Dr Ste. 4, Tallulah LA 71282-5510. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Vicksburg Clinic Llc can be contacted via phone (318) 574-0056, or through Brewer, Debbie T via phone (877) 892-9813.
Contact Information
Primary practice address
10 Crothers Dr Ste. 4
Tallulah LA 71282-5510
Phone: (318) 574-0056
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ||
| Allopathic & Osteopathic Physicians / Urology | 208800000X | ||
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X |
Profile Details
| NPI number | 1831308816 |
|---|---|
| LBN Legal business name | Vicksburg Clinic Llc |
| DBA Doing business as | |
| Authorized official | Brewer, Debbie T |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 22nd, 2007 |
| Last updated | Oct 1st, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831308816 | NPPES |
| Louisiana | MEDICAID | 1444740 | |
| Louisiana | MEDICAID | 1192694 |
Popular Providers
-
Brandon Medical Wellness Center
807 S Parsons Ave , Brandon FL 33511-6063 -
Outpatient Medical Center, Inc.
804 N Beech St , Tallulah LA 71282 -
Conemaugh Health Initiatives
1086 Franklin St , Johnstown PA 15905-4305 -
Shackelford County Rural Health
450 Kenshalo St. , Albany TX 76430-1567 -
Total Family Healthcare, Inc.
4041 W Sylvania Ave Ste 5, Toledo OH 43623-4465 -
Simpsonville Family Medicine, Pa
1336 Highway 14 , Simpsonville SC 29681 -
Breckinridge Health Inc.
105 Chambliss Dr , Hardinsburg KY 40143-2575 -
Pleasant Hill Family Practice,Pc
5148 E University Ave , Pleasant Hill IA 50327-7008