Phsc Desiard Street Clinic

LBN: Primary Health Services Center
Phsc Desiard Street Clinic is an health care organization with primary practice located at 2913 Desiard St , Monroe LA 71201-7207. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Primary Health Services Center can be contacted via phone (318) 651-9914, or through Tonore, Catherine M via phone (318) 388-1250.

Contact Information

Primary practice address
2913 Desiard St Monroe LA 71201-7207
Phone: (318) 651-9914
Fax: (318) 410-0688
Website:
Map and Directions
Authorized official contact:
Name: Tonore, Catherine M
Phone: (318) 388-1250

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1043315286
LBN Legal business name Primary Health Services Center
DBA Doing business as Phsc Desiard Street Clinic
Authorized official Tonore, Catherine M
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2006
Last updated Apr 15th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043315286 NPPES
Louisiana MEDICAID 1441431

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