MEDICARE: RAPIDES PRIMARY HEALTH CARE CENTER, INCORPORATED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568404838
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAPIDES PRIMARY HEALTH CARE CENTER, INCORPORATED

Provider Business Mailing Address
First Line	:	1217 WILLOW GLEN RIVER RD
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71302-5454
Country	:	US
Telephone Number	:	318-487-4400
Fax Number	:	318-487-0525

Provider Business Practice Location Address
First Line	:	1217 WILLOW GLEN RIVER RD
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71302-5454
Country	:	US
Telephone Number	:	318-487-4400
Fax Number	:	318-487-0525

Authorized Official
Title or Position	:	CEO
Name	:	MS. PATRICIA L LEWIS
Credential	:
Telephone Number	:	318-487-4400

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	12/08/2020

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