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NPI Code Detail

MEDICARE: MEDICAL RESOURCES

MEDICARE: MEDICAL RESOURCES
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
1251B00000XCase Management AgencyCM 2334LA

Other Identifiers

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

General Provider Information

NPI Number : 1649494758
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL RESOURCES
Provider Business Mailing Address
First Line : PO BOX 568
Second Line :
City : VILLE PLATTE
State : LA
Zip : 70586-0568
Country : US
Telephone Number : 337-363-4999
Fax Number : 337-363-3702
Provider Business Practice Location Address
First Line : 123 WILLIAMSBURG ST
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70605-5719
Country : US
Telephone Number : 337-480-1118
Fax Number : 337-480-1139
Authorized Official
Title or Position : ADMINISTRATOR
Name : TAMMY FONTENOT
Credential :
Telephone Number : 337-363-4999
Provider Enumeration Date : 04/12/2007
Last Update Date : 08/22/2020

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Directions to “MEDICAL RESOURCES ” Practice Location

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