NPI 1073638516

A-1 Northwest La Incs, LLC

Organisation Point of Service Ruston, LA

Practice location

Address: 103 W Alabama Ave, Ruston, LA 71270-4403
Phone: (318) 636-0390
Fax: (318) 635-3298
Mailing address: PO Box 1345, Ruston, LA 71273-1345

Authorised official

Name: Cindy S Parker
Title: Regional Coordinator
Phone: (318) 636-0390

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 11882 (LA)

Other Point of Service providers in Louisiana →

Registry record

NPI: 1073638516
Entity type: Organization
NPI issued: 21 Mar 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.