Organization
CROWLEY WALK IN CLINIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W BELLAMY (MANAGER)
(337) 783-6857
Entity
Organization
Contact information
Practice address
621 NORTH AVENUE K, CROWLEY, LA 70526-4513
(337) 783-8215
(337) 783-8884
Mailing address
621 NORTH AVENUE K, CROWLEY, LA 70526-4513
(337) 783-8215
(337) 783-8884
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
15201R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060907909A
BLUE CROSS
LA
05
—
1451614
—
LA
Enumeration date
10/23/2006
Last updated
08/14/2019
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