Organization
PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA, INC
Active
Parent organization
PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA, INC.
Other names
WBR Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA, INC.
Authorized official
GINGER A. HUNT CEO (CEO)
(225) 683-5292
Entity
Organization
Contact information
Practice address
203 ALLENDALE DR, PORT ALLEN, LA 70767-3219
(225) 389-1311
(225) 389-1330
Mailing address
PO BOX 395, CLINTON, LA 70722-0395
(225) 389-1311
(225) 683-3411
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1038814
—
LA
Enumeration date
01/30/2008
Last updated
01/28/2021
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