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
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/07/2019
Last updated
01/19/2021
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