Organization
PRIME HEALTH LLC
Active
Other names
Prime Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MEICHI C LEE (ADMINISTRATOR)
(225) 687-2001
Entity
Organization
Contact information
Practice address
59295 RIVERWEST DR, SUITE C, PLAQUEMINE, LA 70764
(225) 687-2001
(225) 687-9519
Mailing address
59295 RIVERWEST DR, SUITE C, PLAQUEMINE, LA 70764
(225) 687-2001
(225) 687-9519
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
003
LA
261QR1300X
Rural Health Clinic/Center
Primary
003
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1440051
—
LA
Enumeration date
11/22/2006
Last updated
11/21/2014
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