Provider Demographics
NPI:1326613837
Name:SCF MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:SCF MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BONNETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-305-6703
Mailing Address - Street 1:334 COLLINS RD
Mailing Address - Street 2:
Mailing Address - City:WINNFIELD
Mailing Address - State:LA
Mailing Address - Zip Code:71483-5130
Mailing Address - Country:US
Mailing Address - Phone:318-727-9377
Mailing Address - Fax:
Practice Address - Street 1:334 COLLINS RD
Practice Address - Street 2:
Practice Address - City:WINNFIELD
Practice Address - State:LA
Practice Address - Zip Code:71483-5130
Practice Address - Country:US
Practice Address - Phone:318-727-9377
Practice Address - Fax:318-727-8915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service