MEDICARE: MINDEN FAMILY MEDICINE 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
1	207Q00000X	Family Medicine Physician	MD024175	LA

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	:	1275614836
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINDEN FAMILY MEDICINE LLC

Provider Business Mailing Address
First Line	:	114 HOMER RD
Second Line	:
City	:	MINDEN
State	:	LA
Zip	:	71055-2732
Country	:	US
Telephone Number	:	318-377-7134
Fax Number	:	318-377-7098

Provider Business Practice Location Address
First Line	:	3 MEDICAL PLAZA PL
Second Line	:
City	:	MINDEN
State	:	LA
Zip	:	71055-3330
Country	:	US
Telephone Number	:	318-377-7134
Fax Number	:	318-377-7098

Authorized Official
Title or Position	:	M.D./OWNER
Name	:	DR. CHRISTOPHER M EARNHARDT
Credential	:	MD
Telephone Number	:	318-377-7134

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	05/07/2024

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Directions to “MINDEN FAMILY MEDICINE LLC ” Practice Location

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