Organization
MERCY PHYSICIAN PRACTICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI R VIDRINE (REVENUE CYCLE MANAGER)
(337) 457-8052
Entity
Organization
Contact information
Practice address
411 E MAIN ST, VILLE PLATTE, LA 70586-4609
(337) 336-5037
(337) 506-2131
Mailing address
411 E MAIN ST, VILLE PLATTE, LA 70586-4609
(337) 336-5037
(337) 506-2131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
03/30/2007
Last updated
12/30/2021
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