Organization · Type 2 NPI
Primary Health Services Center
Federally Qualified Health Center (FQHC) · Monroe, LA
NPI number
1053604892
Active
Practice location
2914 Betin Ave
Monroe, LA 71201-7258
Fax (318) 323-4430
Mailing address
PO Box 7495
Monroe, LA 71211-7495
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center | 261QD0000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
4 other providers at this address
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About NPI 1053604892
Primary Health Services Center's National Provider Identifier is 1053604892, issued on May 26, 2011. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Monroe, LA. The record was last updated on Apr 15, 2021.