Pediatric & Adolescent Clinic of Louisiana LLC
Rural health clinic in Vidalia, LA, Medicare certification number 193883.
Medicare certification
Provider of Services- CCN
- 193883
- Status
- Active
- Provider type
- Rural health clinic
- Control type
- 1A
- Participating since
- Sep 4, 2007
- Last certification
- Aug 30, 2023
- Most recent change of ownership
- Jan 1, 2025 (1 total)
- Address
- 1806 Carter Street
Vidalia, LA 71373
(318) 336-7171
NPI records for this facility (CCN to NPI Mapping) 1
-
- Rural Health Clinic/Center
- Vidalia, LA
- NPI 1346092038
Medicare enrollment
Other rural health clinics in Vidalia, LA
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.