Organization
PLAQUEMINES PRIMARY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLIE PREST RN (ADMINISTRATOR)
(504) 564-0848
Entity
Organization
Contact information
Practice address
27136 HWY 23, SUITE A, PORT SULPHUR, LA 70083
(504) 564-0848
(504) 564-0849
Mailing address
27136 HWY 23, SUITE A, PORT SULPHUR, LA 70083
(504) 564-0848
(504) 564-0849
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
03/30/2010
Last updated
01/03/2020
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