Organization
QUALITY MEDICAL CARE AND SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES J. ASWELL III M.D. (OWNER)
(337) 363-7474
Entity
Organization
Contact information
Practice address
107 HOSPITAL DR, OAKDALE, LA 71463-3034
(318) 335-3370
(318) 335-0593
Mailing address
903 TATE COVE RD, VILLE PLATTE, LA 70586-3600
(337) 363-8101
(337) 363-8656
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1459984
—
IN
01
—
4500442
MEDICAID SUBMITTER ID NUMBER
LA
01
—
C08406281
MEDICARE SUBMITTER ID NUMBER
LA
Enumeration date
10/25/2006
Last updated
01/05/2009
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