Organization
MINDEN PHYSICIAN PRACTICES, LLC
Active
Other names
Minden Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD T. MERK (OFFICER/AUTHORIZED OFFICIAL)
(318) 226-8202
Entity
Organization
Contact information
Practice address
1111 HOMER RD, MINDEN, LA 71055-3027
(318) 377-7500
(318) 371-3594
Mailing address
1111 HOMER RD, MINDEN, LA 71055-3027
(318) 377-7500
(318) 377-2324
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043630
—
LA
Enumeration date
12/07/2006
Last updated
08/19/2020
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