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Organization
ANNA FONTENOT MEDICAL CENTER LLC
Active
Organization
ANNA FONTENOT MEDICAL CENTER LLC
Active
Other names
Dupre Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI VIDRINE (BILLING MANAGER)
(337) 363-5531
Entity
Organization
Contact information
Practice address
1008 W MAIN ST, VILLE PLATTE, LA 70586-4208
(337) 363-5531
Mailing address
1008 W MAIN ST, VILLE PLATTE, LA 70586-4208
(337) 363-5531
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/07/2019
Last updated
01/19/2021
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