Organization
ST. JAMES PRIMARY CARE (APMC)
Active
Other names
St. James Primary Care, Laplace
Organization subpart
No
Provider details
NPI number
Authorized official
ANU P VELLANKI MD (MD)
(225) 869-9200
Entity
Organization
Contact information
Practice address
502 RUE DE SANTE STE 301, LA PLACE, LA 70068-5424
(985) 652-5475
(985) 652-5476
Mailing address
PO BOX 419, GRAMERCY, LA 70052
(225) 869-9200
(225) 869-9241
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
114
LA
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057843586A
BLUE CROSS BLUE SHIELD
LA
05
—
1457621
—
LA
01
—
5CE42
MEDICARE GROUP
LA
Enumeration date
01/17/2007
Last updated
05/18/2023
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