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NPI Code Detail

MEDICARE: WEST MONROE URGENT CARE CENTER, LLC

MEDICARE: WEST MONROE URGENT CARE CENTER, LLC
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
1282NR1301XRural Acute Care HospitalLA

General Provider Information

NPI Number : 1598949307
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEST MONROE URGENT CARE CENTER, LLC
Provider Business Mailing Address
First Line : 1416 NATCHITOCHES ST
Second Line :
City : WEST MONROE
State : LA
Zip : 71292-3751
Country : US
Telephone Number : 318-965-9042
Fax Number : 318-965-9303
Provider Business Practice Location Address
First Line : 1416 NATCHITOCHES ST
Second Line :
City : WEST MONROE
State : LA
Zip : 71292-3751
Country : US
Telephone Number : 318-965-9042
Fax Number : 318-965-9303
Authorized Official
Title or Position : PARTNER
Name : MS. LESANN SMITH
Credential :
Telephone Number : 318-965-9042
Provider Enumeration Date : 12/28/2007
Last Update Date : 12/28/2007

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