Phsc Dental Clinic
LBN: Primary Health Services Center
Phsc Dental Clinic is an health care organization with primary practice located at 2914 Betin Ave , Monroe LA 71201-7258. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Primary Health Services Center can be contacted via phone (318) 323-4450, or through Tonore, Catherine M via phone (318) 388-1250.
Contact Information
Primary practice address
2914 Betin Ave
Monroe LA 71201-7258
Phone: (318) 323-4450
Fax: (318) 323-4430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Dental | 261QD0000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1053604892 |
|---|---|
| LBN Legal business name | Primary Health Services Center |
| DBA Doing business as | Phsc Dental Clinic |
| Authorized official | Tonore, Catherine M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 26th, 2011 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053604892 | NPPES |
| Louisiana | MEDICAID | 2177427 |
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