Mercy Medical Health Center | |
900 S Vienna St Ruston LA 71270-5830 | |
(318) 251-0334 | |
Not Available |
Full Name | Mercy Medical Health Center |
---|---|
Speciality | Clinic/center - Dental |
Location | 900 S Vienna St, Ruston, Louisiana |
Authorized Official Name and Position | Kimberly G. Brunson (CEO) |
Authorized Official Contact | 3182591100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mercy Medical Health Center Po Box 70 Hodge LA 71247-0070 Ph: (318) 259-1100 | Mercy Medical Health Center 900 S Vienna St Ruston LA 71270-5830 Ph: (318) 251-0334 |
NPI Number | 1346907086 |
---|---|
Provider Enumeration Date | 11/17/2021 |
Last Update Date | 11/17/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346907086 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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