# MERCY PHYSICIAN PRACTICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598885832
- **Authorized official:** KELLI R VIDRINE (REVENUE CYCLE MANAGER)
- **Authorized official phone:** (337) 457-8052

## Contact information

- **Practice address:** 411 E MAIN ST, VILLE PLATTE, LA 70586-4609
- **Practice address phone:** (337) 336-5037
- **Practice address fax:** (337) 506-2131
- **Mailing address:** 411 E MAIN ST, VILLE PLATTE, LA 70586-4609
- **Mailing address phone:** (337) 336-5037
- **Mailing address fax:** (337) 506-2131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 12/30/2021