PRIMARY HEALTH SERVICES CENTER; NPI #1104384205

Contact Information

PRIMARY HEALTH SERVICES CENTER

301 MCMILLAN RD
WEST MONROE, LA 71291-5323

Phone: 318-737-7616
Fax: 318-855-5158
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for PRIMARY HEALTH SERVICES CENTER

NPI Number 1104384205

LBN Legal business name PRIMARY HEALTH SERVICES CENTER

Authorized official CATHERINE TONORE - (CHIEF EXECUTIVE OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/07/2019

Last updated 04/15/2021 - About 5 years ago

Identifiers

Medicaid

2494465

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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