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Desoto Regional Family Medicine
Rural Health Clinic/Center in Mansfield, Louisiana
NPI 1043359839

Desoto Regional Family Medicine is a Rural Health Clinic/Center based in Mansfield, LA and is specialized in Rural Health. Desoto Regional Family Medicine practices in Mansfield, LA. The NPI Number for Desoto Regional Family Medicine is 1043359839 and holds a License No. (Louisiana).

The current practice location address for Desoto Regional Family Medicine is 130 Jefferson St, Mansfield, LA and can be reached out via phone at 318-872-2700 and via fax at 318-872-6214.

Location: 130 Jefferson St, Mansfield, LA, 71052-2602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043359839
Provider Name
Desoto Regional Family Medicine
Credential
Provider Entity Type
Organization
Address
130 Jefferson St, Mansfield, LA, 71052-2602
Phone Number
318-872-2700
Fax Number
318-872-6214
Provider Enumeration Date
02/06/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CN5547 01 LA RR MEDICARE
1948357 05 LA
institution
Provider Business Practice Location Address Details
Address
130 Jefferson St
City
Mansfield
State
Louisiana
Zip
71052-2602
Phone Number
318-872-2700
Fax Number
318-872-6214
person
Provider Business Mailing Address Details
Address
130 Jefferson St
City
Mansfield
State
Louisiana
Zip
71052-2602
Phone Number
318-872-2700
Fax Number
318-872-6214
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
(Louisiana)
Definition
Definition to come...
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