Community Care PCP Linkage Report...PHY 2552 5000 AGES 0 - 18; CURR PTS 19 - 20 CCPCPLinkage_Public...

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REGION 1 Parish City Provider Name Address Provider Type Specialty Current CC Linkage Potential Capacity Restrictions JEFFERSON AVONDALE JEFFERSON COMMUNITY HEALTHCARE 4028 US HWY 90 AVONDALE, LA 70094 (504) 436-2223 FQHC FEDERALLY QUALIFIED HEALTH CENTERS 845 5500 AGES 0 - 64 GRETNA BOUCHETTE ALIX 230 MEADOWCREST ST GRETNA, LA 70056 (504) 392-5997 PHY FAMILY PRACTICE 1094 2500 AGES 0 - 64 DANG THIEM 1221 AMELIA STREET GRETNA, LA 70053 (504) 364-1844 PHY FAMILY PRACTICE 415 2500 AGES 21 - 64 FISHER MARC 12 A WESTBANK EXPWY, SUITE 100 GRETNA, LA 70053 (504) 361-0234 PHY PEDIATRICS 1002 2500 AGES 0 - 20 FORTINO JAMES 1301 WHITNEY AVE GRETNA, LA 70056 (504) 367-8777 PHY PEDIATRICS 1013 2500 AGES 0 - 20 GROWING UP CHILDRENS CLINIC 120 MEADOWCREST ST., SUITE 470 GRETNA, LA 70056 (504) 392-2580 PHY CLINIC OR OTHER GROUP PRACTICE 1087 2500 AGES 0 - 17 MICHAEL HAYDEL MD AMC - GRETNA 120 MEADOWCREST ST STE 100 GRETNA, LA 70056 (504) 391-7565 PHY 2507 2500 AGES 0 - 20 NGUYEN HAI NAM 1221 AMELIA STREET GRETNA, LA 70053 (504) 364-1844 PHY INTERNAL MEDICINE 1191 2500 AGES 0 - 20 PEDIATRIC CLINIC - WESTBANK 151 MEADOWCREST ST. STE. F GRETNA, LA 70056 (504) 392-9298 PHY CLINIC OR OTHER GROUP PRACTICE 5519 7500 AGES 0 - 17 PEDIATRIC KIDMED LLC 120 MEADOWCREST ST., STE. 245 GRETNA, LA 70056 (504) 391-7690 PHY CLINIC OR OTHER GROUP PRACTICE 3713 7500 AGES 0 - 16 VALENTINE MEDICAL CENTER 1620 BELLE CHASSE HWY GRETNA, LA 70056 (504) 363-4711 PHY CLINIC OR OTHER GROUP PRACTICE 986 3000 AGES 0 - 64 HARVEY LE CAC 851 MANHATTAN BLVD STE A HARVEY, LA 70058 (504) 368-4396 PHY GENERAL PRACTICE 1575 2500 AGES 0 - 18 Page Number: 1 CCPCPLinkage_Public 4/4/2011 11:06:42 AM Community Care PCP Linkage Report

Transcript of Community Care PCP Linkage Report...PHY 2552 5000 AGES 0 - 18; CURR PTS 19 - 20 CCPCPLinkage_Public...

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REGION 1

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

JEFFERSON AVONDALE JEFFERSON COMMUNITY HEALTHCARE 4028 US HWY 90 AVONDALE, LA 70094(504) 436-2223

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

845 5500 AGES 0 - 64

GRETNA BOUCHETTE ALIX 230 MEADOWCREST ST GRETNA, LA 70056(504) 392-5997

PHY FAMILY PRACTICE 1094 2500 AGES 0 - 64

DANG THIEM 1221 AMELIA STREET GRETNA, LA 70053(504) 364-1844

PHY FAMILY PRACTICE 415 2500 AGES 21 - 64

FISHER MARC 12 A WESTBANK EXPWY, SUITE 100 GRETNA, LA 70053(504) 361-0234

PHY PEDIATRICS 1002 2500 AGES 0 - 20

FORTINO JAMES 1301 WHITNEY AVE GRETNA, LA 70056(504) 367-8777

PHY PEDIATRICS 1013 2500 AGES 0 - 20

GROWING UP CHILDRENS CLINIC 120 MEADOWCREST ST., SUITE 470 GRETNA, LA 70056(504) 392-2580

PHY CLINIC OR OTHER GROUP PRACTICE

1087 2500 AGES 0 - 17

MICHAEL HAYDEL MD AMC - GRETNA 120 MEADOWCREST ST STE 100GRETNA, LA 70056(504) 391-7565

PHY 2507 2500 AGES 0 - 20

NGUYEN HAI NAM 1221 AMELIA STREET GRETNA, LA 70053(504) 364-1844

PHY INTERNAL MEDICINE 1191 2500 AGES 0 - 20

PEDIATRIC CLINIC - WESTBANK 151 MEADOWCREST ST. STE. F GRETNA, LA 70056(504) 392-9298

PHY CLINIC OR OTHER GROUP PRACTICE

5519 7500 AGES 0 - 17

PEDIATRIC KIDMED LLC 120 MEADOWCREST ST., STE. 245 GRETNA, LA 70056(504) 391-7690

PHY CLINIC OR OTHER GROUP PRACTICE

3713 7500 AGES 0 - 16

VALENTINE MEDICAL CENTER 1620 BELLE CHASSE HWY GRETNA, LA 70056(504) 363-4711

PHY CLINIC OR OTHER GROUP PRACTICE

986 3000 AGES 0 - 64

HARVEY LE CAC 851 MANHATTAN BLVD STE AHARVEY, LA 70058(504) 368-4396

PHY GENERAL PRACTICE 1575 2500 AGES 0 - 18

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REGION 1

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

JEFFERSON HARVEY TRUYEN T. VU APMC 3709 WESTBANK EXPWY STE 1BHARVEY, LA 70058(504) 348-2310

PHY CLINIC OR OTHER GROUP PRACTICE

1673 5000 AGES 0 - 20

MARRERO ALFEREZ TLALOC 4700 WICHERS DRIVE, SUITE 304 MARRERO, LA 70072(504) 644-4787

PHY INTERNAL MEDICINE 326 2500 AGES 21 - 64

CHILDREN'S MEDICAL CLINIC 829 BARATARIA BLVD MARRERO, LA 70072(504) 368-7337

PHY CLINIC OR OTHER GROUP PRACTICE

2873 5000 AGES 0 - 20

JEFFERSON COMMUNITY HEALTH CARE

1855 AMES BLVD, SUITE B MARRERO, LA 70072(504) 341-4006

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

510 6000 AGES 0 - 64

JEFFERSON PEDIATRIC CLINIC 1111 MEDICAL CTR BLVD, N813 MARRERO, LA 70072(504) 349-6813

PHY CLINIC OR OTHER GROUP PRACTICE

1692 2500 CURRENT PATIENTS AGES 0 - 20

MICHAEL G RUSSO MD A PROFESSIONAL MEDICAL CORPORATION

1111 MEDICAL CENTER BLVD S-555MARRERO, LA 70072(504) 367-8577

PHY CLINIC OR OTHER GROUP PRACTICE

578 2500 AGES 21 - 64

MICHAEL HAYDEL MD AMC - MARRERO 1111 MEDICAL CENTER BLVD #N208 MARRERO, LA 70072(504) 349-6228

PHY 1930 2500 AGES 0 - 20

PRAMELA GANJI MD APMC 1301 BARATARIA BLVD MARRERO, LA 70072(504) 347-8253

PHY CLINIC OR OTHER GROUP PRACTICE

578 2500 AGES 21- 64

REMEDIOS OTHOLINO 1111 MED CTR BLVD, SUITE S-650 MARRERO, LA 70072(504) 347-0202

PHY PEDIATRICS 547 2500 AGES 0 - 20

TURNER JULES 4700 WICHERS DRIVE, SUITE 101 MARRERO, LA 70072(504) 371-0676

PHY PEDIATRICS 670 2500 AGES 0 - 20

WESTCARE MEDICAL CENTER 1220 BARATARIA BOULEVARD MARRERO, LA 70072(504) 340-6711

PHY 2449 5500 AGES 0 - 64

WESTSIDE CLINICS AMC 7017 LAPALCO BLVD. MARRERO, LA 70072(504) 391-7337

PHY 4958 5000 AGES 0 - 20

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Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

JEFFERSON MARRERO WESTSIDE CLINICS AMC 4225 LAPALCO BLVD. MARRERO, LA 70072(504) 391-7337

PHY 2964 20000 AGES 0 - 20

WESTWEGO WESTCARE MEDICAL CENTER 712 WESTBANK EXPRESSWAY WESTWEGO, LA 70094(504) 340-7744

PHY 1968 3500 AGES 0 - 64

ORLEANS NEW OLREANS

DAO MINH 4657 ALCEE FORTIER BLVD,STE A NEW OLREANS, LA 70129(504) 254-4011

PHY GENERAL PRACTICE 1606 2500 AGES 0 - 64

NEW ORLEANS

ADVANCED CLINICAL CONSULT 3134 CALHOUN STREET, SUITE A NEW ORLEANS, LA 70125(504) 861-0108

PHY CLINIC OR OTHER GROUP PRACTICE

151 1000 AGES 21 - 64

ALGIERS COMMUNITY HEALTH CLINIC 1111 NEWTON ST 1ST FLOORNEW ORLEANS, LA 70114(504) 658-2550

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

1214 2500 AGES 0 - 64

BARNES JANET 3600 PRYTANIA ST STE 50NEW ORLEANS, LA 70115(504) 891-1800

PHY PEDIATRICS 1435 2500 AGES 0 - 20

BARNES SHELTON 3600 PRYTANIA ST STE 50NEW ORLEANS, LA 70115(504) 891-1800

PHY INTERNAL MEDICINE 422 2500 AGES 15 - 64

BAWA GURMUKH 1553 N BROAD STREET NEW ORLEANS, LA 70119(504) 943-9222

PHY GENERAL PRACTICE 1159 2500 AGES 2 - 64

CAPONE KEITH 6517 SPANISH FORT BLVD NEW ORLEANS, LA 70124(504) 283-7306

PHY 88 100 CLOSED PANEL

CHILDREN'S HOSPITAL MEDICAL PRACTICE CO

3600 PRYTANIA STE. 100 NEW ORLEANS, LA 70115(504) 899-5437

PHY 3753 7500 AGES 0 - 20

CHILDREN'S HOSPITAL MEDICAL PRACTICE CO

2820 NAPOLEAN AVE, STE 950 NEW ORLEANS, LA 70115(504) 897-4242

PHY 3206 5000 AGES 0 - 20

CHILDREN'S HOSPITAL MEDICAL PRACTICE CORPORATION

1661 CANAL STREET,STE 1200 NEW ORLEANS, LA 70112(504) 299-9980

PHY 2552 5000 AGES 0 - 18; CURR PTS 19 - 20

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Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

ORLEANS NEW ORLEANS

CHILDREN'S HOSPITAL MEDICAL PRACTICE CORPORATION

4052 ULLOA ST NEW ORLEANS, LA 70119(504) 488-7505

PHY 1592 2500 AGES 0 - 20

CHILDREN'S HOSPITAL MEDICAL PRACTICE CORPORATION

14401 CHEF MENTEUR HWY NEW ORLEANS, LA 70129(504) 662-0644

PHY 945 2500 AGES 0 - 20

CHILDREN'S HOSPITAL MEDICAL PRACTICE CORPORATION

3512 LOUISA STREET NEW ORLEANS, LA 70126(504) 948-2873

PHY 501 2500 AGES 0 - 20

CHILDRENS CLINIC OF NEW ORLEANS 3201 GENERAL MEYER AVE. STE. C NEW ORLEANS, LA 70114(504) 362-8930

PHY 2555 5000 AGES 0 - 20

CHILDRENS CLINIC OF NEW ORLEANS 2101 BANKS STREET NEW ORLEANS, LA 70112(504) 523-4357

PHY 553 5000 AGES 0 - 20

CITY OF NEW ORLEANS EAST FAMILY HHC

5640 READ BLVD STE 540NEW ORLEANS, LA 70127(504) 658-2750

PHY CLINIC OR OTHER GROUP PRACTICE

747 5000 AGES 0 - 64

CITY OF NEW ORLEANS-EDNA PILSBURY HEALTH CLINIC

2222 SIMON BOLIVAR AVE 2ND FLNEW ORLEANS, LA 70113(504) 658-2825

PHY CLINIC OR OTHER GROUP PRACTICE

1467 5000 AGES 0 - 64

CRESCENT CITY PEDIATRICS 320 N CARROLLTON AVE STE 103NEW ORLEANS, LA 70119(504) 486-5151

PHY CLINIC OR OTHER GROUP PRACTICE

2770 5000 AGES 0 - 18

CRESCENT CITY PHYSICIANS INC 3434 PRYTANIA ST,#460 NEW ORLEANS, LA 70115(504) 897-7999

PHY 264 800 LIMITED PANEL; AGES 14 - 64

CRESCENT CITY PHYSICIANS INC 3434 PRYTANIA ST STE 430NEW ORLEANS, LA 70115(504) 897-8118

PHY 1064 10000 AGES 14 - 64

CRESCENT CITY PHYSICIANS INC 3322 ST. CLAUDE AVE NEW ORLEANS, LA 70117(504) 947-7754

PHY 807 2500 AGES 14 - 64

CRESCENT CITY PHYSICIANS INC 3712 MACARTHUR BLVD, SUITE 200 NEW ORLEANS, LA 70114(504) 367-6971

PHY 193 2500 CURRENT PATIENTS AGES 14 - 64

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REGION 1

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

ORLEANS NEW ORLEANS

CRESCENT CITY PHYSICIANS INC 9801 LAKE FORREST BLVD NEW ORLEANS, LA 70127(504) 246-1452

PHY 153 300 CLOSED PANEL

CRESCENT CITY PHYSICIANS INC 3434 PRYTANIA ST STE 110NEW ORLEANS, LA 70115(504) 897-7007

PHY 96 100 AGES 14 - 64

CRESCENT CITY PHYSICIANS INC 145 ROBERT E LEE BLVD STE 402NEW ORLEANS, LA 70124(504) 304-7949

PHY 210 2500 AGES 14 - 64

DAUGHTERS OF CHARITY HEALTH CLINIC

4201 N RAMPART STREET NEW ORLEANS, LA 70117(504) 941-6041

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

336 7500 AGES 0 - 64

DAUGHTERS OF CHARITY HEALTH CLINIC

3201 S CARROLLTON AVENUE NEW ORLEANS, LA 70119(504) 207-3060

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

834 16000 AGES 0 - 64

DYER JEAN 3405 ST. CLAUDE AVENUE NEW ORLEANS, LA 70117(504) 943-9578

PHY CARDIOVASCULAR DISEASE, INTERNAL MEDICINE

105 2500 AGES 21 - 64

FLOYD FREDRICK 2909 ST CLAUDE AVENUE NEW ORLEANS, LA 70117(504) 942-1167

INTERNAL MEDICINE 494 2500 AGES 21 - 64

GALVEZ DOCTORS CLINIC 1407 PIETY STREET NEW ORLEANS, LA 70117(504) 940-0820

PHY CLINIC OR OTHER GROUP PRACTICE

889 2500 AGES 0 - 64

GARAUDY ANDREA 6517 SPANISH FORT BLVD NEW ORLEANS, LA 70124(504) 283-7306

PHY 113 100 CLOSED PANEL; LIMITED PANEL; AGES 0 - 20

HACKETT JUDITH 1901 LEONIDAS ST NEW ORLEANS, LA 70118(504) 865-1539

PHY FAMILY PRACTICE 796 2500 AGES 0 - 64

HUNTER MICHAEL 2714 CANAL ST, SUITE 201 NEW ORLEANS, LA 70119(504) 822-1092

PHY FAMILY PRACTICE 393 2500 AGES 21 - 64

LIN EDWIN 4209 ST. CLAUDE AVE. NEW ORLEANS, LA 70117(504) 944-0144

PHY 2124 2500 AGES 0 - 20

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REGION 1

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

ORLEANS NEW ORLEANS

LOUISIANA AVENUE MEDICAL CENTER INC

4301 ELYSIAN FIELDS AVENUE NEW ORLEANS, LA 70122(504) 284-3866

PHY CLINIC OR OTHER GROUP PRACTICE

1287 3500 AGES 0 - 64

LSU BAPTIST UPTOWN 2820 NAPOLEON AVE STE 890NEW ORLEANS, LA 70115(504) 412-1366

PHY 1001 2500 AGES 0 - 64

LSU MEDICINE CLINIC AT LORD & TAYLOR

1450 POYDRAS ST 3RD FLOORNEW ORLEANS, LA 70115(504) 903-2373

PHY 659 5000 AGES 21 - 64

MACARTHUR PRIMARY CARE CENTER 3712 MACARTHUR BLVD, STE 202 NEW ORLEANS, LA 70114(504) 368-4066

PHY CLINIC OR OTHER GROUP PRACTICE

134 500 LIMITED PANEL; CURR PTS & FAMILY MEMBERS AGES 0-64

MADISON EDWARD 9511 CHEF MENTEUR HWY, STE 106 NEW ORLEANS, LA 70127(504) 241-0861

PHY PEDIATRICS 13 2500

MCLNO HOP CLINIC 136 S ROMAN STREET, 4TH FLOOR NEW ORLEANS, LA 70112(504) 903-6959

PHY 301 3500 AGES 21 - 64

MCLNO-MARTIN BEHRMAN 715 OPELOUSAS AVE NEW ORLEANS, LA 70114(504) 361-6440

PHY 739 5500 AGES 0 - 64

MCLNO/TULANE HOSPITAL PEDIATRICS/ADOLESCENT

136 S.ROMAN ST.4TH FL MC CLINI NEW ORLEANS, LA 70112(504) 903-6959

PHY 15 2500 AGES 0 - 24

MCLNO/TULANE MEDICINE GROUP 1450 POYDRAS AVE., 3RD FLOOR NEW ORLEANS, LA 70112(504) 988-2618

PHY 215 5000 AGES 21 - 64

MCNEIL KIMBERLY 8736 CHEF MENTEUR HWY, SUITE 1 NEW ORLEANS, LA 70127(504) 244-0022

PHY PEDIATRICS 1327 2500 AGES 0 - 20

MEDICAL SPECIALISTS OF TOURO 3525 PRYTANIA ST STE 220NEW ORLEANS, LA 70115(504) 897-4017

PHY CLINIC OR OTHER GROUP PRACTICE

345 5000 AGES 21 - 64, NOT AFFILIATED WITH TOURO INFIRMARY

MIDTOWN MEDICAL LLC 3500 ST. CHARLES AVE SUITE 100NEW ORLEANS, LA 70115(504) 895-0990

PHY CLINIC OR OTHER GROUP PRACTICE

668 7500 WOMEN ONLY AGES 21 - 60

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REGION 1

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

ORLEANS NEW ORLEANS

MOLDEN GREGORY 2121 MAGAZINE ST NEW ORLEANS, LA 70130(504) 592-9818

PHY GENERAL PRACTICE 316 2500 AGES 21 - 64

NO/AIDS TASK FORCE 2601 TULANE AVE STE 500NEW ORLEANS, LA 70119(504) 821-2601

PHY CLINIC OR OTHER GROUP PRACTICE

85 3500 AGES 18 - 64

NOHC-CENTRAL CITY 2222 SIMON BOLIVAR 1ST. FLOOR NEW ORLEANS, LA 70113(504) 571-1607

PHY CLINIC OR OTHER GROUP PRACTICE

1352 5000 AGES 0 - 64

NOHD HEALTHCARE FOR THE HOMELESS

2222 SIMON BOLIVAR 2ND FLOORNEW ORLEANS, LA 70113(504) 658-2785

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

29 100 LIMITED PANEL; AGES 21 - 64

OCHSNER MEDICAL CENTER FOR CHILDREN MAIN CAMPUS

1315 JEFFERSON HWY NEW ORLEANS, LA 70121(504) 842-3900

PHY 1619 17500 CURRENT PATIENTS AND SIBLINGS AGES 0 - 17

OGBUOKIRI GODWIN 4543 DOWNMAN ROAD NEW ORLEANS, LA 70126(504) 246-5227

PHY GENERAL SURGERY 798 2500 AGES 6 - 64

PEDIATRIC ASSOCIATES OF NEW ORLEANS

4511 DOWMAN ROAD NEW ORLEANS, LA 70126(504) 245-4000

PHY CLINIC OR OTHER GROUP PRACTICE

2208 2500 AGES 0 - 20; ACCEPTING NEW PTS AGES 0 - 18 ONLY

SINGLETON RENEE 5951 BULLARD AVENUE, SUITE 8 NEW ORLEANS, LA 70128(504) 241-4040

PHY FAMILY PRACTICE 30 2500

ST THOMAS COMMUNITY HEALTH CENTER

1020 ST ANDREW ST NEW ORLEANS, LA 70130(504) 529-5558

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

1303 10000 AGES 0 - 64

TANGPRICHA VITHAVAS 4209 ST. CLAUDE AVE. NEW ORLEANS, LA 70117(504) 944-0144

PHY 2018 2500 AGES 0 - 17

TILLERY-JR BERTRAND 3500 BEHRMAN PLACE STE 200 NEW ORLEANS, LA 70114(504) 365-9906

PHY GENERAL PRACTICE, FAMILY PRACTICE

1226 2500 AGES 0 - 64

TUHC FAMILY HEALTH WITH OBGYN 200 BROADWAY ST., STE 230 NEW ORLEANS, LA 70118(504) 988-9000

PHY 269 300 MATERNAL PTS & THEIR MINOR CHILDREN AGES 0 - 39

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Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

ORLEANS NEW ORLEANS

TUHC MEDICAL PEDIATRICS CLINIC 275 LASALLE STREET NEW ORLEANS, LA 70112(504) 988-5030

PHY 1381 3000 AGES 0 - 64

TULANE DOWNTOWN GENERAL PEDIATRICS

1415 TULANE AVENUE 5TH FLOORNEW ORLEANS, LA 70112(504) 988-6253

PHY 666 2500 AGES 0 - 20

TULANE DROP-IN CLINIC AT COVENANT HOUSE

611 NORTH RAMPART ST NEW ORLEANS, LA 70112(504) 584-1112

PHY 555 2500 AGES 0 - 23

TULANE FAMILY PRACTICE 200 BROADWAY STE 230NEW ORLEANS, LA 70118(504) 988-9000

PHY 397 400 LIMITED PANEL; NO OB PATIENTS; AGES 0 - 64

TULANE GENERAL INTERNAL MEDICINE 275 LASALLE STREET NEW ORLEANS, LA 70112(504) 988-5030

PHY 18 2500 CLOSED PANEL

TULANE MEDICINE PEDIATRICS - UPTOWN

200 BROADWAY, SUITE 230 NEW ORLEANS, LA 70118(504) 988-9000

PHY 780 2500 AGES 0 - 20

TULANE UNIVERSITY COMMUNITY HEALTH CLINIC

611 N RAMPART ST NEW ORLEANS, LA 70112(504) 988-3000

PHY 423 10500 AGES 21 - 64

UPTOWN NEPHROLOGY 3525 PRYTANIA ST STE 620NEW ORLEANS, LA 70115(504) 897-4425

PHY CLINIC OR OTHER GROUP PRACTICE

10 7500 CURRENT PATIENTS AGES 21 - 64

WESTBANK PHYSICIAN ASSOCIATES 3439 KABEL DRIVE STE 8NEW ORLEANS, LA 70131(504) 433-9720

PHY CLINIC OR OTHER GROUP PRACTICE

130 2500 CURRENT PATIENTS AGES 21 - 64

PLAQUEMINES BELLE CHASSE

BELLE CHASSE FAMILY MEDICAL CENTER

8200 HWY 23 BELLE CHASSE, LA 70037(504) 398-1100

PHY CLINIC OR OTHER GROUP PRACTICE

504 5000 AGES 6 - 64

US MEDCARE LLC 7682 HIGHWAY 23 STE BBELLE CHASSE, LA 70037(504) 433-3363

PHY CLINIC OR OTHER GROUP PRACTICE

154 5000 AGES 21 - 64

ST. BERNARD CHALMETTE CHILDREN'S INTERNATIONAL 705 E JUDGE PEREZ DR CHALMETTE, LA 70043(504) 279-5547

PHY 921 3000 AGES 0 - 17

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REGION 1

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

ST. BERNARD CHALMETTE FAMILY HEALTH CARE CLINIC 8301 W JUDGE PEREZ DR STE 207CHALMETTE, LA 70043(504) 278-1884

PHY CLINIC OR OTHER GROUP PRACTICE

413 1000 AGES 0 - 64

LIN EDWIN 221 WEST GENIE STREET CHALMETTE, LA 70043(504) 277-7634

PHY 484 2500 AGES 0 - 20

ST BERNARD HEALTH CENTER INC 8101 W JUDGE PEREZ DR CHALMETTE, LA 70043(504) 281-2800

PHY CLINIC OR OTHER GROUP PRACTICE

2718 7500 AGES 0 - 64

TANGPRICHA VITHAVAS 221 WEST GENIE ST CHALMETTE, LA 70043(504) 277-7634

PHY 453 2500 AGES 0 - 18

EAST JEFFERSON

KENNER ARA ANJUMAN 200 W. ESPLANADE AVE STE 312KENNER, LA 70065(504) 712-8872

PHY INTERNAL MEDICINE 132 2500 AGES 21 - 64

CERRATO CIRO 3814 WILLIAMS BLVD KENNER, LA 70065(504) 465-0115

PHY CARDIOVASCULAR DISEASE

194 2500 AGES 21 - 64

CHILDREN'S HOSPITAL MEDICAL PRACTICE CORPORATION

3321 FLORIDA AVENUE KENNER, LA 70065(504) 468-4437

PHY 507 2500 AGES 0 - 20

ESTARIS RAUL 3321 FLORIDA AVENUE KENNER, LA 70065(504) 465-0800

PHY INTERNAL MEDICINE 167 2500 AGES 21 - 64

GAUTREAUX-III JOSEPH 200 W ESPLANADE AVE SUITE 120KENNER, LA 70065(504) 464-8683

PHY GENERAL PRACTICE, OTOLOGY, LARYNGOLOGY, RHINOLOGY

194 2500 AGES 4 - 64

GELMAN VADIM 3555 LOYOLA DRIVE, SUITE D KENNER, LA 70065(504) 464-8750

PHY OB/GYN 34 2500 CLOSED PANEL

LSU FAMILY MEDICINE KENNER 200 W. ESPLANADE AVE.#412 KENNER, LA 70065(504) 471-2750

PHY 862 15000 AGES 0 - 64

LSU-KENNER MULTI SPECIALTY CLINIC 200 W. ESPLANADE AVE. STE 205KENNER, LA 70065(504) 412-1705

PHY 173 2500 AGES 18 - 64

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REGION 1

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

EAST JEFFERSON

KENNER MAYORGA CHRISTIAN 4228 WILLIAMS BLVD SUITE 201KENNER, LA 70065(504) 305-0063

PHY FAMILY PRACTICE 121 2500 AGES 21 - 64

MENDOZA ROBERT 3100 WILLIAMS BLVD. KENNER, LA 70065(504) 443-5430

PHY PEDIATRICS 3530 2500 MAX CAPACITY EXCEEDED; AGES 0 - 20

PATEL HARSHAD 4216 FLORIDA AVENUE KENNER, LA 70065(504) 466-3702

PHY INTERNAL MEDICINE 149 2500 AGES 21 - 64

PEDIATRIC MEDICAL CLINIC 2400 VETERANS MEM BLVD STE 490KENNER, LA 70062(504) 305-3812

PHY 187 2500 AGES 0 - 20

PMA MEDICAL TREATMENT 613 WILLIAMS BLVD KENNER, LA 70062(504) 441-5555

PHY CLINIC OR OTHER GROUP PRACTICE

768 3000 AGES 6 MONTHS - 64 YEARS

QUYNH MAI CLINIC LLC 705 W ESPLANADE AVE SUITE AKENNER, LA 70065(504) 465-0185

PHY CLINIC OR OTHER GROUP PRACTICE

400 7500 AGES 21 - 64

RICHARDSON GLENDA 2100 THIRD STREET, STE. 6 KENNER, LA 70062(504) 466-1251

PHY PEDIATRICS 1141 2500 AGES 0 - 13

ROMAGUERA PEDRO 3800 HOUMA BLVD STE 350KENNER, LA 70006(504) 465-2223

PHY INTERNAL MEDICINE 222 2500 AGES 21 - 64

SAMUEL BROWN MD AMC 3813 WILLIAMS BLVD. KENNER, LA 70065(504) 443-5437

PHY CLINIC OR OTHER GROUP PRACTICE

4809 6500 AGES 0 - 20

SMITH VICTORIA 4228 WILLIAMS BLVD STE 203KENNER, LA 70065(504) 496-0138

PHY FAMILY PRACTICE 311 450 AGES 12 - 64

ST CHARLES COMMUNITY HEALTH CENTER

200 W ESPLANADE AVE #310-314 KENNER, LA 70065(504) 712-7800

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

1328 5500 AGES 0 - 64

METAIRIE CAROUSEL PEDIATRICS APMC 4224 HOUMA BLVD STE 240METAIRIE, LA 70006(504) 885-4141

PHY CLINIC OR OTHER GROUP PRACTICE

338 500 LIMITED PANEL; CURRENT PTS & SIBLINGS AGES 0 - 20

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REGION 1

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

EAST JEFFERSON

METAIRIE CHILDREN'S HOSPITAL MEDICAL 4740 S. I-10 SERVICE RD METAIRIE, LA 70001(504) 883-3703

PHY 2758 17500 CURRENT PATIENTS AND NEWBORNS AGES 0 - 18

CHILDREN'S HOSPITAL MEDICAL PRACTICE CO

3040 33RD STREET METAIRIE, LA 70001(504) 219-0880

PHY 1877 15000 AGES 0 - 20

CHILDREN'S HOSPITAL MEDICAL PRACTICE CORPORATION

2201 VETERANS BLVD STE 300METAIRIE, LA 70002(504) 833-7374

PHY 2735 7500 ACCEPTS CURRENT PTS & SIBLINGS BIRTH TO 6 MONTHS

CHILDREN'S HOSPITAL MEDICAL PRACTICE CORPORATION

3100 KINGMAN STREET, SUITE 110 METAIRIE, LA 70006(504) 887-6355

PHY 761 2500 OPEN AGES 0 - 2 MNTHS; CURR PTS AGES 3MNTH - 17YRS

CHILDRENS CLINIC LLC 5037 VETERANS BLVD STE 2EMETAIRIE, LA 70006(504) 887-2616

PHY 1516 5000 AGES 0 - 18

DAUGHTERS OF CHARITY HEALTH CENTER

111 N CAUSEWAY BLVD METAIRIE, LA 70001(504) 482-0084

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

834 5500 AGES 0 - 64

DRS. LEBOEUF & BURAS AM 2800 VETERANS BLVD. SUITE 340 METAIRIE, LA 70002(504) 309-9364

PHY CLINIC OR OTHER GROUP PRACTICE

3259 7500 AGES 0 - 10

FAMILY PRACTICE CENTER 4228 HOUMA BLVD, SUITE 200 METAIRIE, LA 70006(504) 454-7878

PHY CLINIC OR OTHER GROUP PRACTICE

469 15000 ACCEPTS NEW PTS AGES 0-20, CURRENT PTS AGES 21-64

HAROLD R YORK MD APMC 4937 HEARST ST STE 2-AMETAIRIE, LA 70001(504) 885-9957

PHY CLINIC OR OTHER GROUP PRACTICE

1532 2500 AGES 0 - 20

LEVY LAWRENCE 3800 HOUMA BLVD #325 METAIRIE, LA 70006(504) 888-7111

PHY INTERNAL MEDICINE 1 1 AGES 21 - 64

NETWORK PHYSICIANS 4228 HOUMA BLVD STE 330METAIRIE, LA 70006(504) 456-5123

PHY CLINIC OR OTHER GROUP PRACTICE

1 7500 CLOSED PANEL

OCHSNER CHILDREN'S HEALTH CENTER

4901 VETERANS BLVD. METAIRIE, LA 70006(504) 887-1133

PHY 1262 18000 CURRENT PATIENTS, NEWBORNS, & SIBLINGS AGES 0 - 18

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REGION 1

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

EAST JEFFERSON

METAIRIE OKOLE SAMMY 5500 VETERANS BLVD STE 208METAIRIE, LA 70003(504) 887-7792

PHY FAMILY PRACTICE 124 2500 AGES 21 - 64

PARIKH PARIMAL 3800 HOUMA BLVD STE 308METAIRIE, LA 70006(504) 457-2577

PHY INTERNAL MEDICINE 154 2500 AGES 21 - 64

SUNNYSIDE PEDIATRICS LLC 4420 CONLIN STREET SUITE 205METAIRIE, LA 70006(504) 455-8887

PHY CLINIC OR OTHER GROUP PRACTICE

1982 5000 AGES 0 - 20

SUNRISE PEDIATRIC ASSOCIATES 3116 6TH ST,STE 101 METAIRIE, LA 70002(504) 837-9000

PHY 850 7500 CURRENT PATIENTS, NEWBORNS, & SIBLINGS AGES 0 - 20

TRAN MEDICAL ASSOCIATES 3848 VETERANS BLVD, SUITE 101 METAIRIE, LA 70002(504) 885-2505

PHY CLINIC OR OTHER GROUP PRACTICE

235 5000 CLOSED PANEL

TUHC GENERAL PEDIATRICS AT METAIRIE

4720 S I-10 SERVICE RD STE 501METAIRIE, LA 70001(504) 988-8000

PHY 1279 7500 AGES 0 - 20

TUHC METAIRIE CLINIC 4720 S I-10 SERVICE RD,STE 101 METAIRIE, LA 70001(504) 988-8050

PHY 9 300

TULANE CENTER FOR WOMENS HEALTH

4720 S 1-10 SVC RD W STE 300METAIRIE, LA 70001(504) 988-8070

PHY 382 5000 FEMALES ONLY, AGES 13 - 64

TULANE GENERAL PEDIATRICS 4720 I-10 SERVICE RD STE 501METAIRIE, LA 70001(504) 988-8000

PHY 864 5000 AGES 0 - 20

VOIGHT JACK 4428 CONLIN STREET, SUITE A METAIRIE, LA 70006(504) 883-8334

PHY GENERAL PRACTICE 593 2500 AGES 21 - 64

WILLIAM ST. JOHN LACORTE APMC 519 METAIRIE ROAD METAIRIE, LA 70005(504) 838-6000

PHY CLINIC OR OTHER GROUP PRACTICE

97 2500 CURRENT PATIENTS AGES 21 - 64

RIVER RIDGE CHILDREN'S HOSPITAL MEDICAL 9605 JEFFERSON HIGHWAY RIVER RIDGE, LA 70123(504) 738-1604

PHY 1907 5000 AGES 0 - 20

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REGION 1

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

EAST JEFFERSON

RIVER RIDGE JEFFERSON COMMUNITY HEALTH CARE

11312 JEFFERSON HWY RIVER RIDGE, LA 70123(504) 463-3002

FQHC 120 2500

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Community Care PCP Linkage Report

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Parish Specialty Number of CommunityCARE

Providers

Maximum Capacity

Current CC Linkages Total

EAST JEFFERSON GENERAL PRACTICE

2

FAMILY PRACTICE 3

OB/GYN 1

PEDIATRICS 2

INTERNAL 6

OTHER 29

FQHC 2

TOTAL: 45 227,251 41,168

JEFFERSON OTHER 15

FQHC 2

GENERAL PRACTICE

1

FAMILY PRACTICE 2

INTERNAL 2

PEDIATRICS 4

TOTAL: 26 111,000 44,663

ORLEANS INTERNAL 3

OTHER 49

GENERAL PRACTICE

4

FAMILY PRACTICE 3

PEDIATRICS 3

FQHC 5

TOTAL: 67 251,700 57,904

CommunityCARE Provider Summary Count By ParishREGION 1

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Community Care PCP Linkage Report

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Parish Specialty Number of CommunityCARE

Providers

Maximum Capacity

Current CC Linkages Total

PLAQUEMINES OTHER 2

TOTAL: 2 10,000 658

ST. BERNARD OTHER 5

TOTAL: 5 16,500 4,989

REGION TOTALS 145 616,451 149,382

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REGION 2

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

ASCENSION DONALDSONVILLE

FAMILY MEDICAL CLINIC 217 RAILROAD AVENUE DONALDSONVILLE, LA 70346(225) 473-3931

RHC RURAL HEALTH CLINIC

1043 2500 AGES 0 - 64

ST ELIZABETH PHYSICIANS 214 CLINIC DRIVE DONALDSONVILLE, LA 70346(225) 473-8151

PHY 569 7000 CURRENT PATIENTS AGES 0 - 64

GONZALES NOWAKOWKI BOGDAN 1433 EAST HWY 30 GONZALES, LA 70737(225) 647-6900

PHY PULMONARY DISEASES

250 2500 AGES 8 - 64

SOUTHERN MEDICAL ASSOCIATES 2524 S PHILIPPE AVE GONZALES, LA 70737(225) 644-1990

PHY CLINIC OR OTHER GROUP PRACTICE

1614 5000 AGES 0 - 64

ST ELIZABETH PHYSICIANS 2647 S ST ELIZABETH BLVD #316GONZALES, LA 70737(225) 647-8511

PHY 891 5500 CURRENT PATIENTS AGES 0 - 64

ST ELIZABETH PHYSICIANS 2647 S ST ELIZABETH BLVD #100GONZALES, LA 70737(225) 647-8511

PHY 1736 16500 CURRENT PATIENTS AGES 0 - 64

ST ELIZABETH PHYSICIANS 1702 N. BURNSIDE AVENUE, STE A GONZALES, LA 70737(225) 647-8319

PHY 374 2500 CURRENT PATIENTS AGES 0 - 64

ST ELIZABETH PHYSICIANS 721 EAST HWY 30 GONZALES, LA 70737(225) 644-7337

PHY 1208 2500 CURRENT PATIENTS AGES 0 - 14

TWUM-ANTWI YAW 723 EAST HIGHWAY 30 GONZALES, LA 70737(225) 644-5393

PHY INTERNAL MEDICINE 964 2500 AGES 6 - 64

VAZQUEZ-BORRERO CARLOS 1937 SOUTH BURNSIDE GONZALES, LA 70737(225) 647-1947

PHY INTERNAL MEDICINE 538 2500 AGES 12 - 64

WILLIAMS JERRY 317 W. ASCENSION GONZALES, LA 70737(225) 647-9297

PHY INTERNAL MEDICINE 240 2500 AGES 21 - 64

PRAIRIEVILLE

MAGNOLIA PEDIATRICS 17503 OLD JEFFERSON HWY PRAIRIEVILLE, LA 70769(225) 744-4484

PHY CLINIC OR OTHER GROUP PRACTICE

517 8000 AGES 0 - 15

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REGION 2

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

ASCENSION PRAIRIEVILLE

ST ELIZABETH PHYSICIANS 14225 HWY 73 PRAIRIEVILLE, LA 70769(225) 673-3033

PHY 734 7500 CURRENT PATIENTS AGES 0 - 64

ST ELIZABETH PHYSICIANS 17609 JEFFERSON HWY STE DPRAIRIEVILLE, LA 70769(225) 677-9595

PHY 506 18500 CURRENT PATIENTS AGES 1 - 64

EAST BATON ROUGE

BAKER DEJOHN MICHAEL 4444 GROOM ROAD BAKER, LA 70714(225) 774-9134

PHY 40 2500 CURRENT PATIENTS AGES 21 - 64

INTERNAL MEDICINE AND PEDIATRICS 6516 E MYRTLE ST BAKER, LA 70714(225) 774-7320

PHY CLINIC OR OTHER GROUP PRACTICE

2467 2500 LIMITED PANEL; AGES 0 - 16

MANALAC RODOLFO 3034 RAYWEILAND DRIVE BAKER, LA 70714(225) 775-8500

PHY FAMILY PRACTICE 26 2500 AGES 40 - 64

MOUTON MARK 12902 PLANK ROAD BAKER, LA 70714(225) 774-7111

PHY INTERNAL MEDICINE 300 2500 AGES 21 - 64

THOMPSON E.GENE 12902 PLANK ROAD BAKER, LA 70714(225) 774-3883

PHY INTERNAL MEDICINE 44 2500 CURRENT PATIENTS AGES 21 - 64

BATON ROUGE

ACADIAN MEDICAL CLINIC 412 NORTH ACADIAN THRUWAY BATON ROUGE, LA 70806(225) 338-1145

PHY CLINIC OR OTHER GROUP PRACTICE

527 2500 AGES 2 - 64

BANKS RAYNANDO 3905 CONVENTION STREET BATON ROUGE, LA 70806(225) 387-7858

PHY FAMILY PRACTICE 775 2500 AGES 5 - 64

BATON ROUGE PEDIATRIC CLINIC 7750 GREENWELL SPRINGS RD BATON ROUGE, LA 70814(225) 928-9550

PHY CLINIC OR OTHER GROUP PRACTICE

2271 3000 CURRENT PATIENTS AGES 0 - 20

BATON ROUGE PRIMARY CARE COLLEGE

7855 HOWELL BLVD, SUTIE 330 BATON ROUGE, LA 70807(225) 774-1120

FQHC 678 3500 AGES 0 - 64

BATON ROUGE PRIMARY CARE COLLEGE

220 ST. VINCENT DEPAUL PLACE BATON ROUGE, LA 70802(225) 343-9086

FQHC 140 1000 AGES 0 - 64

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REGION 2

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

EAST BATON ROUGE

BATON ROUGE

BOSTICK LESLIE 8595 PICARDY AVE STE 200BATON ROUGE, LA 70809(225) 767-5520

PHY PEDIATRICS 469 2500 CURRENT PATIENTS & NEWBORNS AGES 0 - 11

CAPITOL CITY FAMILY HEALTH CENTER 3140 FLORIDA BLVD BATON ROUGE, LA 70806(225) 650-2000

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

2615 6500 AGES 0 - 64

CHALASANI LALITHA 3401 NORTH BLVD STE 325BATON ROUGE, LA 70806(225) 381-2789

PHY INTERNAL MEDICINE 169 2500 AGES 21 - 64

CHEVALIER TIFFANNY 8786 GOODWOOD BLVD,STE 105 BATON ROUGE, LA 70806(225) 927-7480

PHY PEDIATRICS 1420 2500 OPEN AGES 0 - 1 MTH;CURRENT PTS AGES 2 MTHS -17YRS

CHILD HEALTH AMERICAN PHYSICIANS 3955 GOVERNMENT ST STE 1BATON ROUGE, LA 70806(225) 343-1565

PHY CLINIC OR OTHER GROUP PRACTICE

1568 2500 AGES 0 - 20

CURRY JANE 8235 YMCA PLAZA DR STE 100BATON ROUGE, LA 70810(225) 766-1109

PHY PEDIATRICS 338 2500 OPEN AGES BIRTH - 6 MNTHS;CURR PTS AGES 7M - 17YR

DAO XUONG 12389 FLORIDA BLVD. BATON ROUGE, LA 70815(225) 272-8222

PHY INTERNAL MEDICINE 776 2500 AGES 0 - 64

DESPINASSE-II BRIAN 730 COLONIAL DRIVE, SUITE B BATON ROUGE, LA 70815(225) 924-7343

PHY PEDIATRICS 1325 2500 OPEN AGES 0 - 4M; CURR PTS & SIBLINGS AGES 5M -20Y

DIAL DANIEL 10880 JOOR ROAD BATON ROUGE, LA 70818(225) 262-7710

PHY INTERNAL MEDICINE 18 2500 CURRENT PATIENTS AGES 21 - 64

FAMILY HEALTH CENTER 3801 NORTH BOULEVARD BATON ROUGE, LA 70806(225) 381-6620

PHY CLINIC OR OTHER GROUP PRACTICE

2357 3500 LIMITED PANEL; AGES 0 - 64

FELDMAN ROBERT 4245 WINBOURNE AVENUE BATON ROUGE, LA 70805(225) 357-2248

PHY PEDIATRICS 2204 2500 AGES 0 - 20

HALL COREY 606 COLONIAL DRIVE , SUITE A BATON ROUGE, LA 70806(225) 930-9045

PHY FAMILY PRACTICE 416 2500 AGES 21 - 64

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REGION 2

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

EAST BATON ROUGE

BATON ROUGE

HOWARD MICHAEL 3525 RILEY STREET BATON ROUGE, LA 70805(225) 356-2004

PHY GENERAL PRACTICE 579 2500 AGES 21 - 64

IBEKWE RUBY 3923 CONVENTION ST. BATON ROUGE, LA 70806(225) 381-6474

PHY FAMILY PRACTICE 741 2500 AGES 2 MONTHS - 64 YEARS

JAMES E HINES-III 2153 NORTH FOSTER DRIVE BATON ROUGE, LA 70806(225) 356-9775

PHY GENERAL PRACTICE 1013 2500 AGES 0 - 64

LPCP FAMILY PRACTICE ASSOCIATES 12525 PERKINS ROAD SUITE A BATON ROUGE, LA 70810(225) 765-4256

PHY 24 10000 CLOSED PANEL

LPCP INTERNAL MEDICINE OF BATON ROUGE

7777 HENNESSY BLVD SUITE 7000 BATON ROUGE, LA 70808(225) 765-8829

PHY 95 17500 CURRENT PATIENTS AGES 18 - 64

LPCP LAKE PEDIATRICS @ O'NEAL LANE

2380 O'NEAL LANE STE A BATON ROUGE, LA 70816(225) 214-3714

PHY 1875 5000 OPEN BIRTH - 2 MONTH; CURR PTS & SIBLINGS 2M - 15Y

LPCP NEIGHBORHOOD CLINIC 9422 SCOTLAND AVENUE BATON ROUGE, LA 70807(225) 774-1822

PHY 1328 1000 MAX CAPACITY EXCEEDED; AGES 0 - 64

LPCP PEDIATRIC ACADEMIC CLINIC 8415 GOODWOOD BLVD, SUITE 202 BATON ROUGE, LA 70806(225) 765-8013

PHY 1043 7500 AGES 0 - 18

LPCP PEDIATRIC MEDICAL CENTER 12525 PERKINS ROAD, SUITE C BATON ROUGE, LA 70810(225) 769-2003

PHY 2372 20000 OPEN AGES 0 - 3 MONTHS CURRENT PATIENTS & SIBLINGS

LPCP PEDS @ GOODWOOD (KIDMED) 8415 GOODWOOD BLVD. STE 100 BATON ROUGE, LA 70806(225) 765-5633

PHY 10683 11500 AGES 0 - 5; CURRENT PTS & SIBLINGS AGES 6 - 18

LPCP PRIMARY CARE OF SOUTH BATON ROUGE

18135 E. PETROLEUM DR. SUITE ABATON ROUGE, LA 70809(225) 765-5247

PHY 305 7500 OPEN NEW PTS 0 - 2M, CURR PTS & SIBLINGS 3M - 17Y

LPCP SENIOR CARE OF IM OF BR 5339 DIDESSE BATON ROUGE, LA 70808(225) 765-3076

PHY 4 5500 CLOSED PANEL

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REGION 2

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

EAST BATON ROUGE

BATON ROUGE

LPCP SOUTHEAST PEDIATRIC 8415 GOODWOOD BLVD. SUITE 104 BATON ROUGE, LA 70806(225) 925-9797

PHY 3813 10500 OPEN AGES 0 - 2; CURRENT PTS & SIBLINGS AGES 3 -20

LSUHN EKL-FAMILY 1401 NORTH FOSTER DRIVE BATON ROUGE, LA 70806(225) 987-9000

PHY 944 15000 AGES 18 - 64

LSUHN EKL-LEO BUTLER 950 EAST WASHINGTON BATON ROUGE, LA 70802(225) 358-2520

PHY 259 3000 AGES 18 - 64

LSUHN EKL-MEDICINE 5825 AIRLINE HWY BATON ROUGE, LA 70805(225) 358-1110

PHY 663 5000 AGES 18 - 64

LSUHN EKL-NORTH BATON ROUGE 5439 AIRLINE HIGHWAY BATON ROUGE, LA 70805(225) 358-2280

PHY 344 3000 AGES 18 - 64

LSUHN EKL-PEDIATRICS 1401 NORTH FOSTER DR BATON ROUGE, LA 70806(225) 987-9000

PHY 4154 12500 AGES 0 - 18

MAYO TAMIKA 3401 NORTH BLVD STE 360BATON ROUGE, LA 70806(225) 381-2712

PHY FAMILY PRACTICE 1106 2500 AGES 1 - 64

MAYS STAN J. 4242 GUS YOUNG AVENUE BATON ROUGE, LA 70802(225) 926-2258

PHY FAMILY PRACTICE 816 2500 AGES 0 - 64

MURRILL MELVIN 4560 NORTH BLVD STE 108BATON ROUGE, LA 70806(225) 928-0695

PHY PEDIATRICS 2140 2500 AGES 0 - 20

OLD HAMMOND PEDIATRICS 11548 OLD HAMMOND HWY BATON ROUGE, LA 70815(225) 273-5995

PHY CLINIC OR OTHER GROUP PRACTICE

2787 3500 OPEN AGES 0 - 12; CURR PTS & SIBLINGS AGES 13 - 18

OPTIMAL HEALTH OUT-PATIENT CLINIC 7240 RENOIR AVE BATON ROUGE, LA 70806(225) 932-9150

PHY 702 2500 AGES 0 - 64

PEDIATRIC HEALTH ASSOCIATES 624 CHEVELLE CT BATON ROUGE, LA 70806(225) 925-2055

PHY CLINIC OR OTHER GROUP PRACTICE

1521 2500 AGES 0 - 18

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REGION 2

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

EAST BATON ROUGE

BATON ROUGE

PEDICONS INC DBA KIDMED NORTH 5151 PLANK RD BATON ROUGE, LA 70805(225) 356-2006

PHY 3503 3500 AGES 0 - 20

PEDICONS INC DBA KIDMED SOUTH 7612 PICARDY AVE STE CBATON ROUGE, LA 70808(225) 767-3800

PHY 2621 3000 AGES 0 - 20

PHAM LUAN 9936 FLORIDA BLVD, STE B BATON ROUGE, LA 70815(225) 927-8772

PHY FAMILY PRACTICE 898 2500 NEW PTS AGES 0 - 20; CURRENT PTS AGES 21 - 64

ROBERTS JONATHAN 8333 GOODWOOD BLVD BATON ROUGE, LA 70806(225) 952-9460

PHY INTERNAL MEDICINE 364 2500 AGES 21 - 64

RONALD ANDREWS MD 8894 AIRLINE HWY STE QBATON ROUGE, LA 70815(225) 922-8377

PHY CLINIC OR OTHER GROUP PRACTICE

427 2500 CURRENT PATIENTS AND SIBLINGS AGES 0 - 64

SEFA AKWASI 4560 NORTH BLVD. SUITE 101 BATON ROUGE, LA 70806(225) 925-2331

PHY INTERNAL MEDICINE 707 1000 LIMITED PANEL; AGES 14 - 64

SMITH CHRISTINE 11281 OLD HAMMOND HWY BLDG BBATON ROUGE, LA 70815(225) 275-4656

PHY FAMILY PRACTICE 148 2500 CLOSED PANEL

STANOCOLA MEDICAL CENTER - I.M. 16777 MEDICAL CENTER, STE. 400 BATON ROUGE, LA 70816(225) 926-7200

PHY 189 2500 LIMITED PANEL; AGES 21 - 64

STANOCOLA MEDICAL CENTER - P.C. 16777 MEDICAL CTR DR STE 400BATON ROUGE, LA 70816(225) 926-7200

PHY 237 8000 LIMITED PANEL; AGES 21 - 64

STANOCOLA MEDICAL CLINIC 16777 MEDICAL CTR DR.,STE.400 BATON ROUGE, LA 70816(225) 952-8540

PHY 1105 2500 AGES 0 - 20

THE PRIMARY CARE GROUP - MIDCITY 3401 NORTH BLVD,STE 130 BATON ROUGE, LA 70806(225) 381-2727

PHY CLINIC OR OTHER GROUP PRACTICE

805 10000 AGES 0 - 64

THOMAS VERONICA 8786 GOODWOOD BLVD SUITE 107BATON ROUGE, LA 70806(225) 810-4785

PHY PEDIATRICS 1096 2500 NEWBORNS AGES 0 - 3M; CURR PTS& SIBLINGS 4M - 15Y

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REGION 2

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

EAST BATON ROUGE

BATON ROUGE

URGENT CARE & FAMILY MEDICINE 1962 ONEAL LN STE H1BATON ROUGE, LA 70816(225) 755-0095

PHY CLINIC OR OTHER GROUP PRACTICE

1214 2500

WILLIAMS JACQUELINE 7516 PICARDY AVE STE BBATON ROUGE, LA 70808(225) 765-7144

PHY PEDIATRICS 946 2500 CURRENT PATIENTS AGES 0 - 15

ZACHARY KHELGHATI AMRULLAH 9305 MAIN STREET STE DZACHARY, LA 70791(225) 654-0300

PHY PEDIATRICS 1750 2500 AGES 0 - 20

LPCP PRIMARY CARE OF ZACHARY 18989 OLD SCENIC HWY ZACHARY, LA 70791(225) 654-6140

PHY 424 2500 OPEN AGES 0 - 2 MONTHS & SIBLINGS OF EXISTING PTS

MEDINA JUAN 4727 WEST PARK DR STE AZACHARY, LA 70791(225) 658-8111

PHY INTERNAL MEDICINE 31 2500 CURRENT PATIENTS AGES 16 - 64

MONROE-WILKES GRETA 6110 MAIN STREET ZACHARY, LA 70791(225) 658-2036

PHY FAMILY PRACTICE 457 2500 AGES 0 - 64

SANTOS-MATA ELENITA 4851 WEST PARK DR STE AZACHARY, LA 70791(225) 658-7636

PHY PEDIATRICS 405 2500 CURRENT PATIENTS, NEWBORNS & SIBLINGS AGES 0 - 16

ZACHARY FAMILY PRACTICE 2335 CHURCH STREET, STE. E ZACHARY, LA 70791(225) 654-3607

PHY CLINIC OR OTHER GROUP PRACTICE

69 10000 CLOSED PANEL

EAST FELICIANA

CLINTON CLINTON HIGH HEALTH CENTER 10410 PLANK RD CLINTON, LA 70722(225) 683-1340

FQHC RHC/FQHC OPH CERTIFIED SBHC

10 1000 AGES 0 - 64

CLINTON LOWER HEALTH CENTER 10701 REILEY ST CLINTON, LA 70722(225) 683-1350

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

11 1000 AGES 0 - 64

CLINTON MIDDLE HEALTH CENTER 12126 LIBERTY CLINTON, LA 70722(225) 683-8877

FQHC RHC/FQHC OPH CERTIFIED SBHC

31 3000 AGES 0 - 64

DEJOHN MICHAEL 11315 LIBERTY HIGHWAY CLINTON, LA 70722(225) 683-3358

PHY 43 2500 CURRENT PATIENTS AGES 12 - 64

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REGION 2

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

EAST FELICIANA

CLINTON KAKARALA VENU 11333 CHURCH STREET CLINTON, LA 70722(225) 683-3901

PHY INTERNAL MEDICINE 112 2500 AGES 0 - 64

RATHBONE CLINIC 11323 CHURCH STREET CLINTON, LA 70722(225) 683-3377

PHY CLINIC OR OTHER GROUP PRACTICE

393 3000 AGES 0 - 64

RKM PRIMARY CARE 11990 JACKSON ST CLINTON, LA 70722(225) 683-5292

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

1105 3500 AGES 0 - 64

JACKSON JACKSON COMPLEX HEALTH CENTER 3501 HWY 10 JACKSON, LA 70748(225) 683-1360

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

5 1000 AGES 0 - 64

NWABUEZE NNAMDI 3050 CHARLES DRIVE JACKSON, LA 70748(225) 634-3517

PHY GENERAL PRACTICE 776 2500 AGES 0 - 64

SLAUGHTER SLAUGHTER HEALTH CENTER 3170 CHURCH ST SLAUGHTER, LA 70777(225) 683-1370

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

34 1000 AGES 0 - 64

IBERVILLE GROSSE TETE

HEALTH CARE FIRST MEDICAL CLINIC 18015 WILLOW STREET GROSSE TETE, LA 70740(225) 648-3433

RHC RURAL HEALTH CLINIC

119 1000 AGES 0 - 64

MARINGOUIN MARINGOUIN MEDICAL CENTER 77695 WAGLEY ROAD MARINGOUIN, LA 70757(225) 625-2313

PHY CLINIC OR OTHER GROUP PRACTICE

225 500 AGES 0 - 64

PLAQUEMINE BROWN ANDREA 23845 CHURCH STREET PLAQUEMINE, LA 70764(225) 687-2828

PHY FAMILY PRACTICE 455 2500 AGES 0 - 35

FAMILY FIRST MEDICAL CLINIC 25073 HWY 1 SOUTH PLAQUEMINE, LA 70764(225) 687-1772

PHY CLINIC OR OTHER GROUP PRACTICE

88 2500 CURRENT PATIENTS AGES 0 - 64

FITCH ANDRIETTE 58155 CHINN STREET, STE B PLAQUEMINE, LA 70764(225) 687-8838

PHY INTERNAL MEDICINE 1145 2500 AGES 0 - 64

GARRISON-NORTH NEFRETITI 58155 CHINN STREET, SUITE B PLAQUEMINE, LA 70764(225) 687-8838

PHY PEDIATRICS 251 2500 AGES 0 - 64

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REGION 2

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

IBERVILLE PLAQUEMINE PEDIATRIC ASSOCIATES 59325 RIVERWEST DR., SUITE D PLAQUEMINE, LA 70764(225) 687-3055

PHY CLINIC OR OTHER GROUP PRACTICE

5523 5000 MAX CAPACITY EXCEEDED; AGES 0 - 18

PRIME HEALTH LLC 59295 RIVERWEST DR STE CPLAQUEMINE, LA 70764(225) 687-2001

RHC RURAL HEALTH CLINIC

583 6000 AGES 0 - 64

REDDY FAMILY MEDICAL CL - PLAQ 58725 BELLEVIEW RD STE A-5PLAQUEMINE, LA 70764(225) 687-6200

RHC RURAL HEALTH CLINIC

273 1000 AGES 0 - 64

ST. GABRIEL ST. GABRIEL HEALTH CLINIC INC 5760 MONTICELLO ST ST. GABRIEL, LA 70776(225) 642-9676

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

228 1000 AGES 0 - 64

WHITE CASTLE

REDDY FAMILY MEDICAL CLINIC OF WHITE CASTLE

32985 BOWIE STREET WHITE CASTLE, LA 70788(225) 545-3631

RHC RURAL HEALTH CLINIC

238 1000 AGES 0 - 64

POINTE COUPEE

INNIS INNIS COMMUNITY HEALTH CENTER 6450 LA HWY 1 INNIS, LA 70747(225) 492-3775

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

447 2500 AGES 0 - 64

LIVONIA LIVONIA COMMUNITY HEALTH CENTER 3041 FORDOCHE RD. LIVONIA, LA 70755(225) 637-3535

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

395 5000 AGES 0 - 64

NEW ROADS BRIAN LEBLANC MD 160 HOSPITAL ROAD NEW ROADS, LA 70760(225) 638-4686

RHC RURAL HEALTH CLINIC

855 2500 NEW PTS AGES 0 - 17; CURRENT PATIENTS AGES 18 - 64

CARL MCLEMORE MD 230 ROBERTS DR STE BNEW ROADS, LA 70760(225) 638-8661

RHC RURAL HEALTH CLINIC

688 2500 NEW PTS AGES 0 - 17; CURRENT PATIENTS AGES 18 - 64

DONALD DOUCET MD & ASSOCIATES 230 ROBERTS DRIVE STE 1NEW ROADS, LA 70760(225) 638-4585

PHY CLINIC OR OTHER GROUP PRACTICE

16 5000 CURRENT PATIENTS ONLY AGES 19 - 64

LOUIS V MONTE LARO MD 230 ROBERTS DR STE ENEW ROADS, LA 70760(225) 638-3781

RHC RURAL HEALTH CLINIC

323 2500 CURRENT PATIENTS & SIBLINGS AGES 0 - 17

LPCP DR. CAROL SMOTHERS 230 ROBERTS DR STE DNEW ROADS, LA 70760(225) 638-8911

PHY 633 2500 AGES 0 - 64

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Community Care PCP Linkage Report

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REGION 2

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

POINTE COUPEE

NEW ROADS PAUL RACHAL MD 230 ROBERTS DR STE HNEW ROADS, LA 70760(225) 638-7033

RHC RURAL HEALTH CLINIC

466 2500 NEWBORNS & SIBLINGS OF CURRENT PTS AGES 0 - 17

WEST BATON ROUGE

BRUSLY WESTSIDE FAMILY MEDICINE 402 N VAUGHN ST BRUSLY, LA 70719(225) 749-2645

PHY CLINIC OR OTHER GROUP PRACTICE

698 5000 AGES 0 - 64

PORT ALLEN LPCP ASSOCIATES IN INTERNAL MEDICINE

4463 LA HWY 1 SOUTH PORT ALLEN, LA 70767(225) 687-9700

PHY 332 2500 CURRENT PATIENTS AGES 0 - 64

REDDY SANTHOSH 970 N ALEXANDER PORT ALLEN, LA 70767(225) 383-6363

PHY INTERNAL MEDICINE 823 2500 AGES 0 - 64

WBR PRIMARY CARE 751 COURT ST PORT ALLEN, LA 70767(225) 389-1311

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

331 3000 AGES 0 - 64

WEST FELICIANA

CLINTON OPTIMAL HEALTH OUT-PATIENT CLINIC 9508 HIGHWAY 67 STE BCLINTON, LA 70722(225) 683-4264

PHY 14 3000 AGES 0 - 64

ST FRANCISVILLE

SCHNEIDER PATRICIA 10273 GOULD DRIVE ST FRANCISVILLE, LA 70775(225) 635-9065

PHY PEDIATRICS 771 2500 AGES 0 - 22

ST. FRANCISVILLE

DANIEL SERVICES LLC 5326 OAK STREET ST. FRANCISVILLE, LA 70775(225) 635-5848

PHY CLINIC OR OTHER GROUP PRACTICE

950 8000 AGES 0 - 64; ONLY PTS IN EAST & WEST FELICIANA PAR

SCHNEIDER LAWRENCE 10289 GOULD DR STE CST. FRANCISVILLE, LA 70775(225) 635-3269

PHY FAMILY PRACTICE 368 2500 AGES 0 - 64

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Parish Specialty Number of CommunityCARE

Providers

Maximum Capacity

Current CC Linkages Total

ASCENSION INTERNAL 3

RHC 1

OTHER 10

TOTAL: 14 85,500 11,184

EAST BATON ROUGE

OTHER 36

FAMILY PRACTICE 9

INTERNAL 8

GENERAL PRACTICE

2

PEDIATRICS 10

FQHC 1

TOTAL: 66 288,500 77,650

EAST FELICIANA OTHER 4

GENERAL PRACTICE

1

INTERNAL 1

FQHC 4

TOTAL: 10 21,000 2,520

IBERVILLE OTHER 3

INTERNAL 1

FQHC 1

FAMILY PRACTICE 1

PEDIATRICS 1

RHC 4

TOTAL: 11 25,500 9,128

CommunityCARE Provider Summary Count By ParishREGION 2

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Community Care PCP Linkage Report

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Parish Specialty Number of CommunityCARE

Providers

Maximum Capacity

Current CC Linkages Total

POINTE COUPEE OTHER 2

FQHC 2

RHC 4

TOTAL: 8 25,000 3,823

WEST BATON ROUGE

FQHC 1

OTHER 2

INTERNAL 1

TOTAL: 4 13,000 2,184

WEST FELICIANA OTHER 2

FAMILY PRACTICE 1

PEDIATRICS 1

TOTAL: 4 16,000 2,103

REGION TOTALS 117 474,500 108,592

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Community Care PCP Linkage Report

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REGION 3

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

ASSUMPTION NAPOLEONVILLE

ASSUMPTION COMMUNITY HOSPITAL 143 HWY 402 STE 4NAPOLEONVILLE, LA 70390(985) 369-1083

RHC RURAL HEALTH CLINIC

840 1000 AGES 0 - 64

REDDY FAMILY MEDICAL CLINIC OF NAPOLEONVILLE

154 HWY 1008 NAPOLEONVILLE, LA 70390(985) 369-1880

RHC RURAL HEALTH CLINIC

599 1000 AGES 0 - 64

PIERRE PART

FAMILY MEDICAL CLINIC 3407 HIGHWAY 70 PIERRE PART, LA 70339(985) 252-1000

RHC RURAL HEALTH CLINIC

305 1000 AGES 0 - 64

TECHE ACTION CLINIC @ PIERRE PART 3617 HWY 70 SOUTH PIERRE PART, LA 70339(985) 252-6211

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

277 2500

LAFOURCHE CUT OFF LADY OF THE SEA MEDICAL CLINIC 102 WEST 112TH ST CUT OFF, LA 70345(985) 632-6233

RHC RURAL HEALTH CLINIC

1886 4000 AGES 0 - 64

SMITH EDDIE 103 PICCOLA PARKWAY CUT OFF, LA 70345(985) 325-6226

PHY FAMILY PRACTICE 131 2500 CLOSED PANEL

GOLDEN MEADOW

LADY OF THE SEA GOLDEN MEADOW 176 WASHINGTON ST GOLDEN MEADOW, LA 70357(985) 475-5200

RHC RURAL HEALTH CLINIC

828 4000 AGES 0 - 64

LAROSE LADY OF THE SEA MEDICAL CLINIC - LAROSE

13030 HWY 308 LAROSE, LA 70373(985) 798-7000

RHC RURAL HEALTH CLINIC

1195 3500 AGES 0 - 64

RACELAND CHILDRENS CLINIC OF RACELAND 110 ACADIA DRIVE RACELAND, LA 70394(985) 537-8687

PHY 507 3000

OCHSNER ST ANNE FAMILY D 111 ACADIA PARK DRIVE RACELAND, LA 70394(985) 537-7575

PHY 692 8000

OCHSNER/ST ANNE INTERNAL MEDICINE CLINIC

4608 HIGHWAY 1 RACELAND, LA 70394(985) 537-2273

PHY 44 5000 AGES 21 - 64

RANDOLPH ROZALYNDE 4803 HWY 1 RACELAND, LA 70394(985) 532-1008

PHY PEDIATRICS 504 2500 AGES 0 - 20

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Community Care PCP Linkage Report

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REGION 3

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

LAFOURCHE THIBODAUX CHILDREN'S CLINIC OF THIBODAUX 807 RIDGEFIELD ROAD THIBODAUX, LA 70301(985) 447-9045

PHY CLINIC OR OTHER GROUP PRACTICE

130 2500 CLOSED PANEL

SAYES R. MARK 206 EAST 2ND STREET THIBODAUX, LA 70301(985) 447-2629

PHY GENERAL PRACTICE 883 2500 AGES 10 - 20

THE CENTER FOR PEDIACTRIC & ADOLESCENT MEDICINE

604 N ACADIA RD STE 200THIBODAUX, LA 70301(985) 448-3700

PHY CLINIC OR OTHER GROUP PRACTICE

2775 5500 OPEN AGES 0 - 6M; 7M - 14Y CURR PTS; BLOCKED 15-17

THIBODAUX MEDICAL CLINIC 1214 CARDINAL DR THIBODAUX, LA 70301(985) 446-6381

PHY CLINIC OR OTHER GROUP PRACTICE

1784 3000 AGES 6 - 64

ST. CHARLES DESTREHAN CHILDRENS CLINIC LLC 3 STOREHOUSE LANE STE BDESTREHAN, LA 70047(985) 764-6556

PHY 1892 5000 AGES 0 - 18

LULING ST.CHARLES COMMUNITY HEALTH CLINIC

843 MILLING AVENUE LULING, LA 70070(985) 785-5800

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

3534 12500 AGES 0 - 64

VIAL-BENSON MONICA 126 POST DRIVE LULING, LA 70070(985) 785-6204

PHY PHYSICAL MEDICINE REHABILITATION

329 2500 AGES 13 - 64

NORCO ST CHARLES COMMUNITY HEALTH CENTER

941 FIRST STREET NORCO, LA 70079(985) 725-9330

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

237 2500 AGES 0 - 64

ST. JAMES GRAMERCY ST. JAMES PRIMARY CARE 827 N. PINE STREET GRAMERCY, LA 70052(225) 869-9200

RHC RURAL HEALTH CLINIC

1571 2500 AGES 0 - 64

VACHERIE S K DONEPUDI MD APMC 21420 HWY 20 W VACHERIE, LA 70090(225) 265-3013

PHY CLINIC OR OTHER GROUP PRACTICE

202 3000 AGES 6 - 64

ST JOSEPH MEDICAL CLINIC 22080 LA HWY 20 WEST VACHERIE, LA 70090(225) 265-3061

RHC RURAL HEALTH CLINIC

689 5500 AGES 0 - 64

ST PHILIP CLINIC 1108 ST JAMES STREET VACHERIE, LA 70090(225) 265-4087

PHY CLINIC OR OTHER GROUP PRACTICE

594 2500 CURRENT PATIENTS AGES 0 - 64

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REGION 3

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

ST. JOHN EDGARD TECHE ACTIONC CLINIC-EDGARD PC 159 EAST 3RD STREET EDGARD, LA 70049(985) 497-8726

FQHC 70 1000 AGES 0 - 64

LAPLACE AVOTRI KOSI 1819 W. AIRLINE HWY SUITE 10LAPLACE, LA 70068(985) 651-5751

PHY PEDIATRICS 711 2500 AGES 0 - 20

CHILDREN'S HOSPITAL MEDICAL PRACTICE CORPORATION

501 RUE DE SANTE, STE 13 LAPLACE, LA 70068(985) 652-6359

PHY 723 2500 NEW PTS AGES BIRTH - 1 YR; CURRENT PTS AGES 2 - 20

PEDIATRIC MEDICAL CLINIC 501 RUE DE SANTE STE 9LAPLACE, LA 70068(985) 651-7444

PHY 1026 2500 AGES 0 - 20

RAINBOW PEDIATRICS 451 RUE DE SANTE LAPLACE, LA 70068(985) 652-4400

PHY CLINIC OR OTHER GROUP PRACTICE

1112 7500 CURRENT PATIENTS AND SIBLINGS AGES 0 - 18

ST JAMES PRIMARY CARE 502 RUE DE SANTE STE 301LAPLACE, LA 70068(985) 652-5475

RHC RURAL HEALTH CLINIC

1644 3000 AGES 0 - 64

RESERVE FAMILY MEDICINE CENTER OF RESERVE

147 CENTRAL AVE RESERVE, LA 70084(985) 536-2605

RHC RURAL HEALTH CLINIC

1191 3000 AGES 0 - 64

ST. MARY BALDWIN FRANKLIN FOUNDATION HOSPITAL 100 LIVE OAK STREET BALDWIN, LA 70514(337) 923-7040

PHY CLINIC OR OTHER GROUP PRACTICE

90 500 AGES 0 - 64

FRANKLIN ACADIANA FAMILY PRACTICE 1501 BETHIA STREET FRANKLIN, LA 70538(337) 828-3507

RHC RURAL HEALTH CLINIC

749 5000 AGES 0 - 64

CHUA JESUS 602 HAIFLEIGH STREET FRANKLIN, LA 70538(337) 828-4037

PHY FAMILY PRACTICE 244 2500 AGES 0 - 64

GUNDA SHARAD 606 HAIFLEIGH STREET FRANKLIN, LA 70538(337) 828-4440

PHY PEDIATRICS 1715 2500 AGES 0 - 15

MCCORMICK LOUIS 606 HAIFLEIGH FRANKLIN, LA 70538(337) 828-4440

PHY FAMILY PRACTICE 664 2500 AGES 0 - 64

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REGION 3

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

ST. MARY FRANKLIN TECHE ACTION CLINIC 1115 WEBER STREET FRANKLIN, LA 70538(337) 828-2550

FQHC 827 7000 AGES 0 - 64

WELCH-SPENCER KEIDRA 1420 NORTHWEST BLVD STE 4FRANKLIN, LA 70538(337) 828-3090

PHY FAMILY PRACTICE 206 2500 CURRENT PTS, DEPENDANTS & SIBLINGS AGES 6 - 64

MORGAN CITY

ALBERT LIANTER 1151 MARGUERITE ST STE 600MORGAN CITY, LA 70380(985) 384-3160

PHY INTERNAL MEDICINE 166 2500 CURRENT PATIENTS AGES 21 - 64

BASS SHARON 1300 LAKEWOOD DR., SUITE G MORGAN CITY, LA 70380(985) 385-2710

PHY FAMILY PRACTICE 408 2500 AGES 0 - 18

BLEREAU ROBERT 1122 EIGHTH STREET MORGAN CITY, LA 70380(985) 385-3000

PHY FAMILY PRACTICE 565 2500 CURRENT PTS AGES 2 - 64; ACCEPTS PTS BIRTH - 1

THE PEDIATRIC CLINIC OF ST MARY 1234 DAVID DR,STE A MORGAN CITY, LA 70380(985) 384-2430

PHY CLINIC OR OTHER GROUP PRACTICE

4553 8500 AGES 0 - 20

TERREBONNE HOUMA ARUNAVATHI SANGISETTY MD 1281 W TUNNEL BLVD HOUMA, LA 70360(985) 876-2321

PHY CLINIC OR OTHER GROUP PRACTICE

6080 10500 AGES 0 - 20

AUDUBON PEDIATRICS LLC 216 MYSTIC BLVD STE BHOUMA, LA 70360(985) 868-9339

PHY CLINIC OR OTHER GROUP PRACTICE

917 5000 OPEN AGES 0 - 3MONTHS; BLOCKED AGES 4MNTHS - 18 YR

BAYOU PEDIATRIC ASSOCIATES 8120 MAIN STREET, SUITE 300 HOUMA, LA 70360(985) 872-6405

PHY CLINIC OR OTHER GROUP PRACTICE

4760 13000 AGES 0 - 20; ACCEPTS AGES 0 - 15 ONLY

DAVULURI CHILDRENS CLINIC 1020 LEE AVE HOUMA, LA 70360(985) 868-7500

PHY CLINIC OR OTHER GROUP PRACTICE

1945 2500 AGES 0 - 21

FADI ABOU-ISSA MD 8120 MAIN STREET, SUITE 301 HOUMA, LA 70360(985) 851-6653

PHY 46 2500 CLOSED PANEL

HOUMA HEALTH CLINIC LLC 827 BAYOU GARDENS BLVD HOUMA, LA 70364(985) 853-2343

PHY CLINIC OR OTHER GROUP PRACTICE

709 3000 AGES 21 - 64

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REGION 3

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

TERREBONNE HOUMA INTERNAL MEDICINE ASSOCIATES OF HOUMA

855 BELANGER ST STE 102HOUMA, LA 70360(985) 873-2961

PHY CLINIC OR OTHER GROUP PRACTICE

23 6000 AGES 21 - 64 ONLY RESIDENTS OF TARC

INTERNAL MEDICINE CLINIC OF HOUMA 911 VERRET STREET HOUMA, LA 70360(985) 876-7388

PHY CLINIC OR OTHER GROUP PRACTICE

36 3500 CLOSED PANEL

SANUSI ABAYOMI 325 LIBERTY STREET HOUMA, LA 70360(985) 879-3600

PHY INTERNAL MEDICINE, DIAGNOSTIC LABORATORY IMMUNOLOGY

423 2500 AGES 21 - 64

SOUTH LOUISIANA MEDICAL ASSOCIATION

1990 INDUSTRIAL BLVD. HOUMA, LA 70363(985) 873-1730

PHY CLINIC OR OTHER GROUP PRACTICE

5467 58500 AGES 0 - 64

SUGARLAND PEDIATRICS LLC 5642 W MAIN ST HOUMA, LA 70360(985) 853-2273

PHY CLINIC OR OTHER GROUP PRACTICE

749 2500 AGES 0 - 12 MONTHS

TECHE ACTION CLINIC @ HOUMA 809 WEST TUNNEL BLVD HOUMA, LA 70360(985) 851-1717

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

637 3000 AGES 0 - 64

TECHE ACTION CLINIC-DULAC 189 MOZART DRIVE HOUMA, LA 70360(985) 868-3700

FQHC 844 1000 AGES 0 - 64

WOMENS OB/GYN HEALTH & WELLNESS

1022 BELANGER STREET HOUMA, LA 70360(985) 868-1561

PHY 159 7000

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Parish Specialty Number of CommunityCARE

Providers

Maximum Capacity

Current CC Linkages Total

ASSUMPTION RHC 3

FQHC 1

TOTAL: 4 5,500 2,021

LAFOURCHE OTHER 6

GENERAL PRACTICE

1

RHC 3

FAMILY PRACTICE 1

PEDIATRICS 1

TOTAL: 12 46,000 11,359

ST. CHARLES FQHC 2

OTHER 2

TOTAL: 4 22,500 5,992

ST. JAMES RHC 2

OTHER 2

TOTAL: 4 13,500 3,056

ST. JOHN PEDIATRICS 1

OTHER 4

RHC 2

TOTAL: 7 22,000 6,477

ST. MARY PEDIATRICS 1

INTERNAL 1

RHC 1

OTHER 3

FAMILY PRACTICE 5

CommunityCARE Provider Summary Count By ParishREGION 3

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Parish Specialty Number of CommunityCARE

Providers

Maximum Capacity

Current CC Linkages Total

ST. MARY TOTAL: 11 38,500 10,187

TERREBONNE OTHER 12

INTERNAL 1

FQHC 1

TOTAL: 14 120,500 22,795

REGION TOTALS 56 268,500 61,887

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REGION 4

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

ACADIA CHURCH POINT

FELTON MICHAEL 814 SOUTH BROADWAY CHURCH POINT, LA 70525(337) 684-3178

PHY FAMILY PRACTICE 369 650 LIMITED PANEL; AGES 0 - 64

POLANCO MARCELO 731 SOUTH MAIN ST SUITE ACHURCH POINT, LA 70525(337) 684-0911

PHY FAMILY PRACTICE 688 2500 AGES 0 - 64

CROWLEY ACADIA FAMILY CLINIC LLC 703 E 8TH STREET CROWLEY, LA 70526(337) 788-1081

RHC RURAL HEALTH CLINIC

319 1000 AGES 0 - 64

BRILEY-WALKER NANCY 1307 CROWLEY RAYNE HWY STE CCROWLEY, LA 70526(337) 788-3032

PHY FAMILY PRACTICE 119 130 LIMITED PANEL; AGES 21 - 64

CANNON STEPHEN 719 NORTH EASTERN AVE CROWLEY, LA 70526(337) 783-5900

PHY FAMILY PRACTICE 236 2500 CURRENT PATIENTS AGES 0 - 64

CROWLEY WALK-IN CLINIC 621 N. AVE K CROWLEY, LA 70526(337) 783-8215

PHY CLINIC OR OTHER GROUP PRACTICE

2933 5500 AGES 0 - 64

DELAHOUSSAYE BENTON 1307 CROWLEY RAYNE HWY,STE A CROWLEY, LA 70526(337) 783-3861

PHY MATERNAL & FETAL MEDICINE, OB/GYN

17 500 LIMITED PANEL;CURRENT PTS FEMALE ONLY AGES 21 - 64

ELFERT JR JOSEPH 1325 WRIGHT AVE,TOWER 1,STE F CROWLEY, LA 70526(337) 783-2915

PHY PEDIATRICS 1987 2500 AGES 0 - 18

HOLDEN JOE 421 NORTH AVENUE F CROWLEY, LA 70526(337) 788-0832

PHY GENERAL PRACTICE 527 2500 AGES 12 - 64

KATIRA MULRAJ 1455 WRIGHT AVE CROWLEY, LA 70526(337) 788-1733

PHY INTERNAL MEDICINE 5 2500 CLOSED PANEL

KRISHEN SWEETIE 1307 CROWLEY RAYNE HWY.,STE B CROWLEY, LA 70526(337) 783-6857

PHY PEDIATRICS 1444 2500 AGES 0 - 18; ACCEPTING NEW PTS AGES 0 - 14 ONLY

MELANSON MICHAEL 1307 CROWLEY RAYNE HWY,STE A CROWLEY, LA 70526(337) 783-3861

PHY MATERNAL & FETAL MEDICINE, OB/GYN

46 500 LIMITED PANEL;CURRENT PTS FEMALE ONLY AGES 21 - 64

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REGION 4

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

ACADIA CROWLEY SAINI SATINDER 1455 WRIGHT AVENUE CROWLEY, LA 70526(337) 788-1733

PHY INTERNAL MEDICINE 255 2500 AGES 21 - 64

SWLA CENTER FOR HEALTH S 613 JOHN F. KENNEDY DRIVE CROWLEY, LA 70526(337) 783-5519

FQHC 30 2500

THE FAMILY CLINIC OF CROWLEY 345 ODDFELLOWS ROAD CROWLEY, LA 70526(337) 783-7004

PHY CLINIC OR OTHER GROUP PRACTICE

210 5500 CURRENT PATIENTS AGES 0 - 64

RAYNE ACADIANA FAMILY MEDICAL ASSOCIATION

717 CURTIS DRIVE RAYNE, LA 70578(337) 334-7551

PHY CLINIC OR OTHER GROUP PRACTICE

1268 7500 CURRENT PATIENTS AGES 0 - 64

EVANGELINE BASILE DESHOTEL BOBBY 1431 FUSILIER BASILE, LA 70515(337) 432-6637

PHY GENERAL PRACTICE 224 2500 AGES 0 - 64

MAMOU ARDOIN BRENT 728 POINCIANA AVE MAMOU, LA 70554(337) 468-0267

PHY INTERNAL MEDICINE 95 2500 CURRENT PATIENTS AGES 6 - 64

BAKARE MEENA 1008 SIXTH ST. MAMOU, LA 70554(337) 468-2515

PHY PEDIATRICS 801 2500 AGES 0 - 20

FONTENOT JOHN 1415 7TH STREET, SUITE J MAMOU, LA 70554(337) 468-5150

PHY INTERNAL MEDICINE 70 2500 CURRENT PATIENTS ONLY AGES 21 - 64

RODRIGUEZ OSCAR 1413 SEVENTH ST, STE B MAMOU, LA 70554(337) 468-3310

PHY INTERNAL MEDICINE 161 2500 AGES 21 - 64

SAVOY GREGORY 1508 CAJUN DRIVE, SUITE B MAMOU, LA 70554(337) 468-5309

PHY GENERAL SURGERY 29 2500 CURRENT PATIENTS AGES 0 - 64

WOMENS MEDICAL & SURGICAL CLINIC 805 CHERRY STREET MAMOU, LA 70586(337) 468-2250

PHY CLINIC OR OTHER GROUP PRACTICE

131 3000 FEMALES ONLY, AGES 10 - 64

VILLE PLATTE

ALTAMIRANO DODANIM 504 JACK MILLER ROAD,SUITE 3 VILLE PLATTE, LA 70586(337) 363-3560

PHY PEDIATRICS 1672 2500 AGES 0 - 20

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REGION 4

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

EVANGELINE VILLE PLATTE

ASWELL-III CHARLES 503 JACK MILLER RD STE AVILLE PLATTE, LA 70586(337) 363-7474

PHY INTERNAL MEDICINE 76 2500 CURRENT PATIENTS AGES 21 - 64

DUPRE HENRY 1008 WEST MAIN STREET VILLE PLATTE, LA 70586(337) 363-5531

PHY GENERAL PRACTICE 312 2500 AGES 18 MTHS-18 YRS; CURRENT PATIENTS AGE 19 - 64

FONTENOT CHARLES 1535 W. MAIN ST.,STE.6 VILLE PLATTE, LA 70586(337) 363-5521

PHY GENERAL PRACTICE 410 2500 AGES 1 - 64

FONTENOT THOMAS 417 E LINCOLN RD VILLE PLATTE, LA 70586(337) 363-7744

PHY GENERAL PRACTICE 266 2500 CURRENT PATIENTS AGES 0 - 64

HARRIS GEHRIG 1013 WEST LINCOLN ROAD VILLE PLATTE, LA 70586(337) 363-3330

PHY FAMILY PRACTICE 220 2500 AGES 0 - 64

LAFLEUR JEFFERY 503 JACK MILLER ROAD, SUITE B VILLE PLATTE, LA 70586(337) 363-7036

PHY INTERNAL MEDICINE 55 2500

RAINEY JOHN 504 JACK MILLER RD., SUITE 5 VILLE PLATTE, LA 70586(337) 363-2249

PHY FAMILY PRACTICE 29 2500

SOILEAU THOMAS 504 JACK MILLER RD STE 4VILLE PLATTE, LA 70586(337) 363-6480

PHY GENERAL PRACTICE 93 2500 CURRENT PATIENTS AGES 0 - 64

TASSIN A J 1535 W. MAIN STREET, SUITE 1 VILLE PLATTE, LA 70586(337) 363-5591

PHY GENERAL PRACTICE 770 2500 AGES 0 - 64

VIDRINE COMMUNITY CLINIC LLC 4940 VIDRINE ROAD VILLE PLATTE, LA 70586(337) 506-3500

PHY CLINIC OR OTHER GROUP PRACTICE

1369 5500 AGES 0 - 64; ACCEPTING PATIENTS AGES 0 - 20 ONLY

VIDRINE STEVEN 417 EAST LINCOLN ROAD VILLE PLATTE, LA 70586(337) 363-8033

PHY GENERAL PRACTICE 127 2500 CURRENT PATIENTS AGES 0 - 64

IBERIA JEANERETTE BOURGEOIS LEONARD 1409 CHURCH ST JEANERETTE, LA 70544(337) 276-6018

PHY FAMILY PRACTICE 44 2500 CURRENT PATIENTS AGES 6 - 64

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REGION 4

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

IBERIA JEANERETTE JEANERETTE RURAL HEALTH CLINIC 217 BOURG STREET JEANERETTE, LA 70544(337) 276-7002

RHC RURAL HEALTH CLINIC

526 1000 AGES 0 - 64

ONG EDISON 303 BAYSIDE DR JEANERETTE, LA 70544(337) 276-5408

PHY FAMILY PRACTICE 457 2500 AGES 0 - 64

LOREAUVILLE

JAMES RUSSELL ROMERO MD 411 SOUTH MAIN LOREAUVILLE, LA 70552(337) 229-4214

RHC RURAL HEALTH CLINIC

360 1200 LIMITED PANEL; AGES 2 - 64

NEW IBERIA AHMAD MOUNAF 408 N LEWIS, SUITE 100-C NEW IBERIA, LA 70563(337) 365-0268

PHY PEDIATRICS 812 2500 OPEN AGES 0 - 4; CURRENT PATIENTS AGES 5 - 18

BOUDREAUX STEPHEN 520 N LEWIS ST STE 100NEW IBERIA, LA 70563(337) 364-3444

PHY GENERAL PRACTICE 98 2500 CURRENT PATIENTS AGES 0 - 64

CLARKE ANDREW 520 N LEWIS ST STE 203NEW IBERIA, LA 70563(337) 364-4738

PHY INTERNAL MEDICINE 18 2500 CURRENT PATIENTS AGES 21 - 64

COUSIN GEORGE 2309 EAST MAIN ST. SUITE 400 NEW IBERIA, LA 70563(337) 367-0271

PHY FAMILY PRACTICE 50 2500 CURRENT PATIENTS AGES 0 - 64

FAUGOT MAURICE 1100 ANDRE ST, SSTE 303 NEW IBERIA, LA 70563(337) 365-5437

PHY PEDIATRICS 275 400 LIMITED PANEL; CURRENT PTS & NEWBORNS AGES 0 - 20

GARCIA JESUS 1100 ANDRE ST STE 203NEW IBERIA, LA 70563(337) 367-6776

PHY FAMILY PRACTICE 33 2500 CURRENT PATIENTS AGES 0 - 64

IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER

806 JEFFERSON TERRACE BLVD. NEW IBERIA, LA 70560(337) 365-4945

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

1705 10500 AGES 0 - 64

LAHASKY ROBERT 520 N. LEWIS ST, SUITE 203 NEW IBERIA, LA 70563(337) 364-4738

PHY FAMILY PRACTICE 63 2500 CURRENT PATIENTS AGES 0 - 64

MATA JOSE 2309 EAST MAIN ST. SUITE 400 NEW IBERIA, LA 70563(337) 367-0271

PHY FAMILY PRACTICE 41 2500 CURRENT PATIENTS AGES 0 - 64

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REGION 4

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

IBERIA NEW IBERIA MENARD MICHELLE 2309 EAST MAIN STREET, STE 400 NEW IBERIA, LA 70560(337) 367-0271

PHY FAMILY PRACTICE 5 2500

MULLEN ELLEN 2312 E MAIN ST STE BNEW IBERIA, LA 70560(337) 364-0938

PHY FAMILY PRACTICE 45 2500 CLOSED PANEL

NUGENT JANICE 520 N LEWIS ST STE 204NEW IBERIA, LA 70563(337) 365-6251

PHY GENERAL PRACTICE 146 150 LIMITED PANEL; AGES 0 - 64

ODOM LEANDRE 2313 E. MAIN STREET, SUITE B NEW IBERIA, LA 70560(337) 560-5323

FAMILY PRACTICE 435 500 LIMITED PANEL; AGES 4 - 64

PALMIANO ALBERTO 2312 EAST MAIN ST, SUITE B NEW IBERIA, LA 70560(337) 364-0938

PHY FAMILY PRACTICE 107 250 CLOSED PANEL

PEDIATRIC GROUP OF ACADIANA LLC 520 N LEWIS STE 202NEW IBERIA, LA 70563(337) 367-2001

PHY 6990 10000 AGES 0 - 20; ACCEPTING NEW PTS AGES 0 - 18 ONLY

RADER ALLISON 408 N LEWIS ST STE 100-CNEW IBERIA, LA 70563(337) 365-0268

PHY PEDIATRICS 453 2500 OPEN AGES 0 - 4; CURRENT PATIENTS AGES 5 - 18

RAYMOND F SCHNEIDER MEMORIAL CLINIC

1302 ED BROUSSARD RD NEW IBERIA, LA 70563(337) 229-7929

RHC RURAL HEALTH CLINIC

144 1000 AGES 0 - 64

SAGRERA GEORGE 602 W. ST PETER STREET NEW IBERIA, LA 70560(337) 364-8196

PHY GENERAL PRACTICE 74 2500 CURRENT PATIENTS AGES 0 - 64

THE CHILDREN'S CENTER 2315 EAST MAIN STREET NEW IBERIA, LA 70560(337) 374-7589

PHY 1803 5000 AGES 0 - 18

THE CHILDREN'S PRACTICE 2308 EAST MAIN STREET NEW IBERIA, LA 70560(337) 560-5005

PHY 3873 5000 AGES 0 - 18

VIATOR TIMOTHY 2205 OLD JEANERETTE ROAD NEW IBERIA, LA 70563(337) 364-8566

PHY FAMILY PRACTICE 275 2500 AGES 21 - 64

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REGION 4

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

LAFAYETTE CARENCRO KENNEDY MICHAEL 111 ST CHARLES STREET CARENCRO, LA 70520(337) 886-1200

PHY FAMILY PRACTICE 634 2500 CURRENT PATIENTS & SIBLINGS AGES 0 - 64

NGUYEN NHU-VONG 208 NORTH CHURCH STREET CARENCRO, LA 70520(337) 896-4090

PHY FAMILY PRACTICE 944 2500 AGES 6 MTHS - 64 YRS

PEDIATRIC GROUP OF ACADIA 4141 N. UNIVERSITY AVENUE CARENCRO, LA 70520(337) 565-2692

PHY 140 2500

DUSON DUSON FAMILY HEALTHCARE 9023 CAMERON STREET DUSON, LA 70529(337) 873-8244

NP FAMILY PRACTICE 713 1000 AGES 0 - 64

LAFAYETTE AHS WALK IN CLINIC 1602 W PINHOOK ROAD, STE 100 LAFAYETTE, LA 70508(337) 234-9925

PHY CLINIC OR OTHER GROUP PRACTICE

370 2500 AGES 2 - 64

BARES GEORGE 4650 AMBASSADOR CAFFERY,#206 LAFAYETTE, LA 70508(337) 988-2345

PHY PEDIATRICS 424 2500 CURRENT PATIENTS AGES 0 - 20

BRUNO CARLOS 811 ALBERTSONS PKWY SUITE ALAFAYETTE, LA 70508(337) 839-2265

PHY PEDIATRICS 696 2500 CURRENT, SIBLINGS & NEWBORNS SEEN @ HOSP AGES 0-20

BRYAN G SIBLEY MD APMC 1211 COOLIDGE BLVD, SUITE 300 LAFAYETTE, LA 70503(337) 289-0042

PHY CLINIC OR OTHER GROUP PRACTICE

2406 3000 AGES 0 - 14; ACCEPTS NEW PATIENTS AGES 0 - 10 ONLY

CHRISTY LAWRENCE W 600 EAST THIRD ST LAFAYETTE, LA 70501(337) 232-8814

PHY PEDIATRICS 2070 2500 AGES 0 - 18

GRANGER BRIAN 201 W GLORIA SWITCH RD, STE I LAFAYETTE, LA 70507(337) 565-6012

PHY FAMILY PRACTICE 18 50 CLOSED PANEL

HAMILTON MEDICAL GROUP-FAMILY PRACTICE MAIN

4212 WEST CONGRESS LAFAYETTE, LA 70506(337) 988-8810

PHY 6 7500 CLOSED PANEL

HAMILTON MEDICAL GROUP-FAMILY PRACTICE NORTH

3414 MOSS STREET LAFAYETTE, LA 70507(337) 232-0038

PHY 23 2500 CLOSED PANEL

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REGION 4

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

LAFAYETTE LAFAYETTE HAMILTON MEDICAL GROUP-PEDIATRIC 4540 AMB CAFFERY PKWY,STE B220 LAFAYETTE, LA 70508(337) 984-2444

PHY 70 2500 CLOSED PANEL

JAMES MWATIBO & JOHNNY S THIBODEAUX

850 NORTH PIERCE ST, SUITE D LAFAYETTE, LA 70501(337) 233-2115

PHY CLINIC OR OTHER GROUP PRACTICE

187 5000 CLOSED PANEL

JOLIVETTE MILTON 501 W. ST.MARY BLVD, STE 300 LAFAYETTE, LA 70506(337) 234-1945

PHY INTERNAL MEDICINE 20 2500 CURRENT PATIENTS AGES 21 - 64

LAFAYETTE CHILDRENS CLINIC LLC 5000 AMBASSADOR CAFF PKWY #12 LAFAYETTE, LA 70508(337) 989-5061

PHY CLINIC OR OTHER GROUP PRACTICE

174 7500 CURRENT PATIENTS AGES 0 - 18

LEBEAN BRYAN 2930 MOSS STREET, SUITE B LAFAYETTE, LA 70501(337) 261-0559

PHY INTERNAL MEDICINE 30 2500 CURRENT PATIENTS AGES 21 - 64

LEBRON-BERGES ALFREDO 4540 AMBASSADOR CAFFERY S B130 LAFAYETTE, LA 70508(337) 981-8486

PHY PEDIATRICS 1393 2000 CURRENT PATIENTS AND NEWBORNS AGES 0 - 18

LOUIS CHARLES 3911 MOSS STREET LAFAYETTE, LA 70501(337) 262-0091

PHY CARDIOVASCULAR DISEASE

57 2500 CURRENT PATIENTS AGES 12 - 64

LSUHN-UMC FAMILY PRACTICE 2390 WEST CONGRESS STREET LAFAYETTE, LA 70506(337) 261-6655

PHY 1658 20000 AGES 0 - 64

LSUHN-UMC MEDICINE 2390 WEST CONGRESS STREET LAFAYETTE, LA 70506(337) 261-6100

PHY 856 10000 AGES 18 - 64

LSUHN-UMC PEDIATRICS 2390 WEST CONGRESS STREET LAFAYETTE, LA 70506(337) 261-6565

PHY 2851 15000 AGES 0 - 18

MANUEL MEDICAL CLINIC 104 GENEVIEVE DRIVE LAFAYETTE, LA 70503(337) 984-0110

PHY 1820 3000 AGES 0 - 20

MELANCON MICHAEL 4650 AMBASSADOR CAFF STE 105LAFAYETTE, LA 70508(337) 989-8080

PHY PEDIATRICS 330 2500 CURRENT PATIENTS & NEWBORNS AGES 0 - 17

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REGION 4

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

LAFAYETTE LAFAYETTE MICHAEL K JUDICE MD LTD APMC 4630 AMBASSADOR CAF PY STE 102LAFAYETTE, LA 70508(337) 989-2322

PHY CLINIC OR OTHER GROUP PRACTICE

273 10000 CURRENT PATIENTS AGES 0 - 17

MOORE PATRICK 3400 MOSS ST LAFAYETTE, LA 70507(337) 706-8986

PHY FAMILY PRACTICE 47 2500 AGES 0 - 64

MOSS STREET KIDMED 1417 MOSS STREET STE.A LAFAYETTE, LA 70501(337) 291-2411

PHY CLINIC OR OTHER GROUP PRACTICE

2873 3000 AGES 0 - 64

PEDIATRIC GROUP OF ACADIANA 1002 TWELFTH STREET LAFAYETTE, LA 70501(337) 534-0107

PHY 159 2500

PEDIATRIC GROUP OF ACADIANA LLC 410 YOUNGSVILLE HWY, STE 100 LAFAYETTE, LA 70508(337) 330-0031

PHY 4185 5000 AGES 0 - 18

ROBINSON DARRELL 4630 AMBASSADOR CAFFERY, #214 LAFAYETTE, LA 70508(337) 981-6969

PHY OB/GYN 444 1000 LIMITED PANEL; FEMALES ONLY, AGES 12 - 64

SMITH KAREN 601 W ST MARY BLVD, STE 403 LAFAYETTE, LA 70506(337) 233-3731

PHY INTERNAL MEDICINE 2 2500 CURRENT PATIENTS AGES 21 - 64

SWLA CENTER FOR HEALTH SERVICE 716 HELLEN STREET LAFAYETTE, LA 70501(337) 769-9451

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

474 5000 AGES 0 - 64

WILLIAMS-SR GERARD 901 W. GLORIA SWITCH ROAD LAFAYETTE, LA 70507(337) 886-0023

PHY INTERNAL MEDICINE 1096 2500 OPEN AGES BIRTH - 2 M; CURRENT PTS AGES 3M - 64YRS

SCOTT ACADIA WALK-IN CLINIC 6100 CAMERON STREET SCOTT, LA 70583(337) 289-6770

PHY CLINIC OR OTHER GROUP PRACTICE

1612 5000 AGES 0 - 20

SCOTT FAMILY CLINIC 5935 CAMERON ST SCOTT, LA 70583(337) 264-0326

PHY CLINIC OR OTHER GROUP PRACTICE

940 1000 AGES 0 - 64

YOUNGSVILLE

LAURENTE SARAH 814 FORTUNE RD STE 108YOUNGSVILLE, LA 70592(337) 857-5096

PHY PEDIATRICS 890 900 LIMITED PANEL; AGES 0 - 18

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REGION 4

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

ST. LANDRY CANKTON FLEUR-DE-LIS COMMUNITY HEALTH CENTER

376 MAIN STREET CANKTON, LA 70584(337) 668-4141

RHC RURAL HEALTH CLINIC

593 2000 AGES 0 - 64

EUNICE BEAUCHAMP-ROCHE KERMEN 3521 HWY 190, STE R EUNICE, LA 70535(337) 457-2301

PHY PEDIATRICS 1040 2500 AGES 0 - 17

FITZGERALD STEPHEN 151 HILL ST STE 2EUNICE, LA 70535(337) 457-4415

PHY INTERNAL MEDICINE 124 2500 AGES 21 - 64

HEBERT MEDICAL GROUP AMC 3521 HWY 190, STE S EUNICE, LA 70535(337) 550-8530

PHY CLINIC OR OTHER GROUP PRACTICE

732 12500 AGES 0 - 18; ACCEPTS NEWBORNS AGES 0 - 2 MNTH ONLY

HEINEN JADE 151 LEON STREET EUNICE, LA 70535(337) 457-8166

PHY FAMILY PRACTICE 46 200 AGES 21 - 64

HEINEN OBSTETRICS & GYNECOLOGY 3448 HWY 190 EUNICE, LA 70535(337) 546-6237

PHY CLINIC OR OTHER GROUP PRACTICE

98 100 LIMITED PANEL; FEMALE ONLY AGES 21 - 45

PULLIN TODD 3521 HWY 190 E STE. NEUNICE, LA 70535(337) 550-1175

PHY PEDIATRICS 1462 2500 OPEN AGES 0 - 6; CURRENT PTS & SIBLINGS AGES 7 -20

ROBINSON JULIET 3521 HWY 190 STE VEUNICE, LA 70535(337) 550-0405

PHY FAMILY PRACTICE 69 2500 CURRENT PATIENTS AGES 10 - 64

SAVOY FAMILY CARE 102 S. 2ND STREET EUNICE, LA 70535(337) 457-7798

RHC RURAL HEALTH CLINIC

1882 5500 AGES 0 - 64

STEARNS ZEBEDIAH 450 MOOSA BLVD, SUITE A EUNICE, LA 70535(337) 546-6646

PHY FAMILY PRACTICE 97 500 CLOSED PANEL

WARE DAVID 3521 HIGHWAY 190, STE P EUNICE, LA 70535(337) 457-8040

PHY FAMILY PRACTICE 57 2500 CLOSED PANEL

OPELOUSAS ALAM USMAN 611 E PRUDHOMME ST.,STE.3 OPELOUSAS, LA 70570(337) 942-5750

PHY CARDIOVASCULAR DISEASE, INTERNAL MEDICINE

50 2500 CLOSED PANEL

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REGION 4

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

ST. LANDRY OPELOUSAS ALL KIDS PEDIATRIC OF OPELOUSAS 920 NORTH MAIN STREET OPELOUSAS, LA 70570(337) 407-8697

PHY CLINIC OR OTHER GROUP PRACTICE

2385 2500 MAX CAP EXCEEDED; ACCEPTS AGES 0-2M;CURR PTS 3M-18

BERTRAND CHARLES 611 E PRUDHOMME STREET,SUITE 5 OPELOUSAS, LA 70570(337) 942-5899

PHY PEDIATRICS 1290 2500 AGES 0 - 20

BOULET JR. L.H. 8676 HIGHWAY 182 OPELOUSAS, LA 70570(337) 942-6324

PHY GENERAL PRACTICE 28 2500 CLOSED PANEL

CHATMAN ERIC 1200 HOSPITAL DR STE 5OPELOUSAS, LA 70570(337) 948-8269

PHY INTERNAL MEDICINE 34 2500 CURRENT PATIENTS AGES 14 - 64

FAMILY CLINIC INC 3921 I-49 SOUTH SERVICE RD. OPELOUSAS, LA 70570(337) 942-5706

PHY CLINIC OR OTHER GROUP PRACTICE

686 10000 AGES 0 - 18; CURRENT PATIENTS AGES 19 - 64

GLOWACKI GREGORY 1200 HOSPITAL DRIVE STE. 2 OPELOUSAS, LA 70570(337) 942-4453

PHY PEDIATRICS 1885 2500 AGES 0 - 20

GREAT BEGINNINGS PEDIATRICS & ADOLESCENT MEDICINE

3975 I-49 S. SERVICE RD STE201 OPELOUSAS, LA 70570(337) 407-2795

PHY CLINIC OR OTHER GROUP PRACTICE

2660 3000 AGES 0 - 18

GREENE CRAIG 2967 S. UNION STREET OPELOUSAS, LA 70570(337) 594-8958

PHY GENERAL PRACTICE 175 2500 CURRENT PATIENTS AGES 0 - 64

GUIDRY JOHN 3975 I 49 S SERVICE RD SU 230OPELOUSAS, LA 70570(337) 948-4019

PHY INTERNAL MEDICINE 10 2500 CURRENT PATIENTS AGES 21 - 64

JONES-III THOMAS 1200 HOSPITAL DR STE 2OPELOUSAS, LA 70570(337) 942-4453

PHY PEDIATRICS 2088 2500 AGES 0 - 20

KOUBICEK CARMEN 1270 ATTAKAPAS DR STE 401KOPELOUSAS, LA 70570(337) 407-0084

PHY PEDIATRICS 1239 2500 OPEN AGES 0 - 2 M; CURRNT PTS & SIBLINGS 3M - 18YR

METOYER MEDICAL CORPORATION INC FAMILY PRACTICE

204 W NORTH ST OPELOUSAS, LA 70570(337) 948-4445

PHY CLINIC OR OTHER GROUP PRACTICE

385 5500 AGES 21 - 64

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REGION 4

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

ST. LANDRY OPELOUSAS RICHARD ARLENE 507 N MARKET ST. OPELOUSAS, LA 70570(337) 948-1212

PHY FAMILY PRACTICE 145 2500 CURRENT PATIENTS AGES 21 - 64

SANCHEZ LURIS 828 CRESWELL LANE OPELOUSAS, LA 70570(337) 942-8088

PHY FAMILY PRACTICE 254 2500 AGES 0 - 64; ACCEPTING NEW PTS AGES 0 - 21 ONLY

SW LA PRIMARY HEALTH CARE 8762 HIGHWAY 182 OPELOUSAS, LA 70570(337) 942-2005

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

898 3000 AGES 0 - 64

TINUBU ADENIKE 1119 PRUDHOMME CIRCLE OPELOUSAS, LA 70570(337) 942-1320

PHY FAMILY PRACTICE 508 2500 AGES 21 - 64

WHITE CALVIN 1119 PRUDHOMME CIRCLE OPELOUSAS, LA 70570(337) 942-1320

PHY FAMILY PRACTICE 193 200 CLOSED PANEL

PORT BARRE FANDAL-JR FREDDIE 17695 US HIGHWAY 190 PORT BARRE, LA 70577(337) 585-7898

PHY FAMILY PRACTICE 466 2500 OPEN PANEL AGES 0 - 20; BLOCKED PANEL AGES 21 - 64

MAYEAUX STACEY 17695 HWY 190 PORT BARRE, LA 70577(337) 585-7898

PHY FAMILY PRACTICE 171 2500 AGES 0 - 20

SUNSET SUNSET MEDICAL CLINIC INC 990 NAPOLEON AVE SUNSET, LA 70584(337) 662-5248

PHY CLINIC OR OTHER GROUP PRACTICE

1047 7500 AGES 6M - 18Y; CURRENT PTS & SIBLINGS AGES 19 - 64

WASHINGTON

GILLESPIE PATRICK 414 NORTH MAIN STREET WASHINGTON, LA 70589(337) 826-8044

PHY FAMILY PRACTICE 148 150 MAX CAPACITY EXCEEDED; LIMITED PANEL;CURR PTS 0-64

ST. MARTIN BREAUX BRIDGE

MED ED OF LOUISIANA INC 206 CHAMPAGNE BLVD STE BBREAUX BRIDGE, LA 70517(337) 332-0222

PHY CLINIC OR OTHER GROUP PRACTICE

1808 3000 AGES 0 - 20 & AGES 50-64; CURRENT PTS AGES 21-49

PEDIATRIC GROUP OF ACADIANA 1442 EAST BRIDGE ST BUILDING CBREAUX BRIDGE, LA 70517(337) 332-3971

PHY 1789 2500 AGES 0 - 21

ST MARTINVILLE

ST MARTIN PARISH COMMUNITY HEALTH

317 DERINER STREET ST MARTINVILLE, LA 70582(337) 342-2566

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

348 3000 AGES 0 - 64

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REGION 4

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

ST. MARTIN ST MARTINVILLE

ST MARTINVILLE MATERNAL-CHILD CLINIC

1119 N MAIN ST ST MARTINVILLE, LA 70582(337) 394-7774

RHC RURAL HEALTH CLINIC

2438 3000 OPEN AGES 0 - 18; FEMALES ONLY AGES 19 - 64

WILTZ DANIEL 1117 N. MAIN ST, SUITE B ST MARTINVILLE, LA 70582(337) 394-7111

PHY FAMILY PRACTICE 18 2500 CLOSED PANEL

VERMILION ABBEVILLE ABBEVILLE COMMUNITY HEALTH CENTER

800 CHARITY STREET ABBEVILLE, LA 70510(337) 893-3443

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

545 3000 AGES 0 - 64

ABBEVILLE GENERAL HOSPITAL CLINIC 2419 ALONZO ST. ABBEVILLE, LA 70510(337) 892-0630

RHC RURAL HEALTH CLINIC

554 7500 AGES 2 - 64

GUTPA PADMINI 323 ODEA ABBEVILLE, LA 70510(337) 898-9503

PHY 452 2500 AGES 0 - 20

MANUEL MEDICAL CLINIC 2405 ALONZO ABBEVILLE, LA 70510(337) 893-3722

PHY 2746 3000 AGES 0 - 20

PEDIATRIC GROUP OF ACADIANA LLC 1049 WEST SUMMERS DR ABBEVILLE, LA 70510(337) 422-6240

PHY 953 2500 AGES 0 - 20

GUEYDAN GARDINER CENTER HEALTH CLINIC 710 FIFTH STREET GUEYDAN, LA 70542(337) 536-9262

RHC RURAL HEALTH CLINIC

239 1000 AGES 0 - 64

KAPLAN BERGEAUX SCOTT 1402 W 8TH STREET KAPLAN, LA 70548(337) 643-6219

PHY FAMILY PRACTICE 331 2500 AGES 1 - 64

GUPTA PADMINI 801 MONTGOMERY KAPLAN, LA 70548(337) 643-8400

PHY 574 2500 AGES 0 - 20

LELEUX PATRICK 202 N. JACKSON AVE KAPLAN, LA 70548(337) 643-1655

PHY EMERGENCY MEDICINE

41 2500 AGES 21 - 64

PATEL SURESHCHAND 804 N MONCEAUX KAPLAN, LA 70548(337) 643-1525

PHY INTERNAL MEDICINE 29 50 LIMITED PANEL; VERMILION PARISH ONLY AGES 21 - 64

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REGION 4

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

VERMILION KAPLAN TATE DAVID 109 EAST FIFTH STREET KAPLAN, LA 70548(337) 643-8096

PHY FAMILY PRACTICE 448 2500 AGES 0 - 64

MAURICE MAURICE COMMUNITY CARE CLINIC 207 MILTON RD MAURICE, LA 70555(337) 898-9449

RHC RURAL HEALTH CLINIC

372 6000 AGES 2 - 64

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Parish Specialty Number of CommunityCARE

Providers

Maximum Capacity

Current CC Linkages Total

ACADIA OTHER 4

PEDIATRICS 2

INTERNAL 2

RHC 1

GENERAL PRACTICE

1

FAMILY PRACTICE 4

OB/GYN 2

TOTAL: 16 41,280 10,453

EVANGELINE GENERAL PRACTICE

7

PEDIATRICS 2

INTERNAL 5

OTHER 3

FAMILY PRACTICE 2

TOTAL: 19 51,000 6,910

IBERIA OTHER 3

INTERNAL 1

FQHC 1

GENERAL PRACTICE

3

FAMILY PRACTICE 11

PEDIATRICS 3

RHC 3

TOTAL: 25 70,000 18,832

LAFAYETTE OB/GYN 1

CommunityCARE Provider Summary Count By ParishREGION 4

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Parish Specialty Number of CommunityCARE

Providers

Maximum Capacity

Current CC Linkages Total

LAFAYETTE PEDIATRICS 6

OTHER 19

FQHC 1

FAMILY PRACTICE 5

INTERNAL 4

TOTAL: 36 147,450 30,885

ST. LANDRY FAMILY PRACTICE 11

PEDIATRICS 6

FQHC 1

OTHER 7

GENERAL PRACTICE

2

INTERNAL 4

RHC 2

TOTAL: 33 100,150 22,945

ST. MARTIN FAMILY PRACTICE 1

RHC 1

OTHER 2

FQHC 1

TOTAL: 5 14,000 6,401

VERMILION OTHER 5

FAMILY PRACTICE 2

INTERNAL 1

FQHC 1

RHC 3

TOTAL: 12 35,550 7,284

REGION TOTALS 146 459,430 103,710

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REGION 5

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

ALLEN ELIZABETH ELIZABETH FAMILY HEALTH CLINIC 504 W MAIN ELIZABETH, LA 70638(318) 634-5475

RHC RURAL HEALTH CLINIC

291 1000 AGES 0 - 64

KINDER ALLEMAND PEGGY 208 6TH AVE. SUITE 5 KINDER, LA 70648(337) 738-2713

PHY FAMILY PRACTICE 131 2500 CURRENT PATIENTS & SIBLINGS AGES 0 - 64

ALLEN PARISH HOSPITAL RURAL HEALTH

108 6TH AVENUE KINDER, LA 70648(337) 738-9494

RHC RURAL HEALTH CLINIC

843 3000 AGES 0 - 64

OAKDALE DAVIS-JR THOMAS 105 N HOSPITAL DRIVE OAKDALE, LA 71463(318) 335-4321

PHY FAMILY PRACTICE 141 2500 CURRENT PATIENTS AGES 0 - 64

GHANTA MADHUSUDANA 115 HOSPITAL DRIVE OAKDALE, LA 71463(318) 335-4393

PHY FAMILY PRACTICE 1436 2500 AGES 0 - 64

RAPIDES REGIONAL PHYSICIAN GROUP 400 E SIXTH AVE OAKDALE, LA 71463(318) 335-4881

PHY CLINIC OR OTHER GROUP PRACTICE

845 5000 AGES 0 - 64

OBERLIN NAZIM MUHAMMAD 616 COURT STREET OBERLIN, LA 70655(337) 639-2500

PHY FAMILY PRACTICE 228 2500 AGES 0 - 64

BEAUREGARD DERIDDER BONILLA EDWIN 403 WEST EIGHTH STREET DERIDDER, LA 70634(337) 463-8977

PHY FAMILY PRACTICE 12 2500 CLOSED PANEL

CARTER HENRY 305 WEST 7TH STREET STE C DERIDDER, LA 70634(337) 463-4800

PHY INTERNAL MEDICINE 5 2500 CLOSED PANEL

DOBBINS THOMAS 325 WEST EIGHTH STREET DERIDDER, LA 70634(337) 463-3387

PHY PEDIATRICS 792 2500 AGES 0 - 64; NO NEW PATIENTS OVER AGE 1

DUPLECHAIN RANDALL 701 SOUTH PINE ST DERIDDER, LA 70634(337) 462-1080

PHY FAMILY PRACTICE 160 2500 CURRENT PATIENTS AGES 0 - 64

GRANGER CHRISTOPHER 403 WEST 8TH STREET DERIDDER, LA 70634(337) 463-8977

PHY GENERAL PRACTICE 52 300 CLOSED PANEL

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REGION 5

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

BEAUREGARD DERIDDER GRIFFIN THOMAS 200 WEST FIFTH ST DERIDDER, LA 70634(337) 463-3176

PHY PEDIATRICS 1292 2500 OPEN AGES 0 - 12 MONTHS ; CURRENT PTS AGES 1 - 18

PANDYA MAHESH 603 SOUTH PINE STREET DERIDDER, LA 70634(337) 463-2172

PHY INTERNAL MEDICINE 2 2500 CURRENT PATIENTS AGES 21 - 64

PELICAN PEDIATRICS 101 W. 6TH STREET DERIDDER, LA 70634(337) 462-8636

PHY 319 5000

PERKINS MICHAEL 813 BON AMI ST DERIDDER, LA 70634(337) 462-6000

PHY PEDIATRICS 1727 2500 AGES 0 - 20; ACCEPTING NEW PTS AGES 0 - 17 ONLY

TAYLOR FLYNN 412 SOUTH PINE STREET DERIDDER, LA 70634(337) 463-9890

PHY FAMILY PRACTICE 568 2500 AGES 0 - 64

MERRYVILLE MERRYVILLE COMMUNITY HEALTH 567 WALKER STREET MERRYVILLE, LA 70653(337) 825-1728

FQHC 69 3000

CALCASIEU DEQUINCY ADAMSON FATAI 128 W FOURTH ST DEQUINCY, LA 70633(337) 786-3913

PHY PEDIATRICS 693 2500 AGES 0 - 20

CHADHA MEDICAL CLINIC 140 W FOURTH ST DEQUINCY, LA 70633(337) 786-5007

RHC RURAL HEALTH CLINIC

740 5500 AGES 0 - 64

DEQUINCY MEDICAL CLINIC LLC 601 WEST 4TH STREET DEQUINCY, LA 70633(337) 786-6161

PHY CLINIC OR OTHER GROUP PRACTICE

397 2500 AGES 6 - 64

JACOBS ERIC 122 WEST FOURTH STREET DEQUINCY, LA 70633(337) 786-3030

PHY FAMILY PRACTICE 513 2500 AGES 0 - 64

IOWA IOWA HEALTH CENTER 203 E. MILLER AVE SUITE BIOWA, LA 70647(337) 582-7632

RHC RURAL HEALTH CLINIC

405 3000 ONLY RESIDENTS OF CALCASIEU&JEFFDAVIS PAR AGES3-21

LAKE CHARLES

ADEOSUN ANTHONY 333 S RYAN ST STE 120LAKE CHARLES, LA 70601(337) 493-8480

PHY FAMILY PRACTICE 538 2500 AGES 0 - 64

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REGION 5

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

CALCASIEU LAKE CHARLES

BERGSTEDT JENNETTE 4150 NELSON RD,BLD E,STE.1 LAKE CHARLES, LA 70605(337) 474-2933

PHY PEDIATRICS 400 2500 CLOSED PANEL

BREAUX ADRIENNE 711 DR.MICHAEL DEBAKEY DR #600 LAKE CHARLES, LA 70601(337) 491-7072

PHY INTERNAL MEDICINE 211 2500 OPEN BIRTH TO 1MO; CURR PTS & SIBLINGS AGES 2M-18Y

CHATTERS RACHEL 1935 SOUTHWOOD DRIVE LAKE CHARLES, LA 70605(337) 475-9009

PHY PEDIATRICS 1939 2500 0 - 2 MTHS; 3 MTHS - 18 CURRENT PTS & PREM BABIES

CHILDREN'S CLINIC OF SW LA 2903 FIRST AVENUE LAKE CHARLES, LA 70601(337) 478-6480

PHY CLINIC OR OTHER GROUP PRACTICE

9473 30500 CURRENT PATIENTS AGES 0 - 20

CHRISTUS MEDICAL GROUP 711 DR. MICHAEL DEBAKEY DRIVE LAKE CHARLES, LA 70601(337) 439-2200

PHY CLINIC OR OTHER GROUP PRACTICE

277 2500 CURRENT PATIENTS & SIBLINGS AGES 0 - 18

FAMILY MEDICINE CENTER 2750 ASTER STREET LAKE CHARLES, LA 70601(337) 478-2650

PHY 8 12500

JONES SUSAN 2708 SECOND AVE STE CLAKE CHARLES, LA 70601(337) 474-0046

PHY INTERNAL MEDICINE 35 2500 CURRENT PATIENTS AGES 21 - 64

LSUMC-S FAMILY PRACTICE CENTER L.C.

1525 OAK PARK BLVD LAKE CHARLES, LA 70601(337) 494-6767

PHY CLINIC OR OTHER GROUP PRACTICE

1224 2500 OPEN AGES 0 - 18; CURR PTS AGES 19 - 64 & OB PTS

PRIMARY CARE CLINIC - W.O. MOSS 1000 WALTERS STREET LAKE CHARLES, LA 70607(337) 475-8066

PHY CLINIC OR OTHER GROUP PRACTICE

1047 12500 AGES 14 - 64

ROSS CARL 410 LOUISIANA AVENUE LAKE CHARLES, LA 70601(337) 439-4923

PHY GENERAL PRACTICE 389 2500 AGES 21 - 64

ROY ANAND 760 E BAYOU PINES LAKE CHARLES, LA 70601(337) 433-0313

PHY INTERNAL MEDICINE, INTERNAL MEDICINE

106 1000 AGES 6 MONTHS - 64 YEARS

SANDERS RICHARD 277 HWY 171 N. SUITE 8 LAKE CHARLES, LA 70611(337) 312-0030

PHY FAMILY PRACTICE 637 2500 AGES 0 - 64; ACCEPTING NEW PTS AGES 0 - 20 ONLY

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REGION 5

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

CALCASIEU LAKE CHARLES

SWLA CENTER FOR HEALTH SERVICE 2000 OPELOUSAS STREET LAKE CHARLES, LA 70601(337) 439-9983

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

3700 19500 AGES 0 - 64

THE PEDIATRIC CENTER OF SOUTHWEST LOUISIANA

1920 WEST SALE ROAD, SUITE F7 LAKE CHARLES, LA 70605(337) 477-0935

PHY 868 2500 OPEN 0 - 15; CURRENT PTS AGES 16 - 64

WO MOSS REGIONAL MEDICAL 1000 WALTERS STREET LAKE CHARLES, LA 70607(337) 475-8420

PHY CLINIC OR OTHER GROUP PRACTICE

1144 2500 AGES 0 - 13

SULPHUR CALCASIEU FAMILY PHYSICIANS 920 1ST AVENUE SULPHUR, LA 70663(337) 528-7472

PHY CLINIC OR OTHER GROUP PRACTICE

211 5000 AGES 0 - 64

SMITH GEORGE 1908 MAPLEWOOD DRIVE, SUITE B SULPHUR, LA 70663(337) 625-5050

PHY FAMILY PRACTICE 367 2500 AGES 0 - 64

THE MAGNOLIA CLINIC 914 SOUTH POST OAK ROAD SULPHUR, LA 70663(337) 625-0035

PHY CLINIC OR OTHER GROUP PRACTICE

771 1000 CURRENT PATIENTS, NEWBORNS, & SIBLINGS AGES 0 - 20

THE PEDIATRIC CENTER OF SOUTHWEST LOUISIANA

600 CYPRESS STREET SULPHUR, LA 70663(337) 527-6371

PHY 4950 11000 OPEN AGES 0 - 16; CURRENT PTS AGES 17 - 20

VINTON VINTON MEDICAL CLINIC 1611 HAMPTON ST. VINTON, LA 70668(337) 589-5951

RHC RURAL HEALTH CLINIC

292 3500 AGES 0 - 64

WESTLAKE THE FAMILY CARE CENTER OF SWL 2345 SAMPSON STREET WESTLAKE, LA 70669(337) 439-1484

PHY CLINIC OR OTHER GROUP PRACTICE

125 128 LIMITED PANEL; AGES 0 - 18; CURR PTS AGES 19 - 64

CAMERON HACKBERRY HACKBERRY RURAL HEALTH CLINIC 1020 MAIN STREET HACKBERRY, LA 70645(337) 762-3762

RHC RURAL HEALTH CLINIC

220 1000 AGES 0 - 64

JEFFERSON DAVIS

ELTON ELTON RURAL HEALTH CLINIC 907 MAIN STREET ELTON, LA 70532(337) 584-2237

RHC RURAL HEALTH CLINIC

482 2500 AGES 0 - 64

JENNINGS APELLANIZ LUIS 1322 ELTON HWY, SUITE P JENNINGS, LA 70546(337) 824-3446

PHY PEDIATRICS 1677 2500 AGES 0 - 21

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REGION 5

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

JEFFERSON DAVIS

JENNINGS CLAWSON MARK 805 NORTH STATE STREET JENNINGS, LA 70546(337) 824-8099

PHY FAMILY PRACTICE 658 2500 CURRENT PATIENTS & FAMILY MEMBERS AGES 0 - 64

JEFF DAVIS FAMILY MEDICINE APMC 1322 ELTON ROAD STE D JENNINGS, LA 70546(337) 824-1111

PHY CLINIC OR OTHER GROUP PRACTICE

698 7500 CURRENT PATIETNS AGES 0 - 64

LACOMB FAMILY MEDICINE 1322 ELTON HWY STE FJENNINGS, LA 70546(337) 824-8868

PHY CLINIC OR OTHER GROUP PRACTICE

1251 2500 AGES 0 - 64

SEGURA JOHN 1636 ELTON ROAD, SUITE 204 JENNINGS, LA 70546(337) 824-7833

PHY FAMILY PRACTICE 50 2500

LAKE ARTHUR

LAKE ARTHUR HEALTH CLINIC 328 KELLOGG STREET LAKE ARTHUR, LA 70549(337) 774-0100

RHC RURAL HEALTH CLINIC

210 1000 CLOSED PANEL

WELSH KANG YOUNG 107 SOUTH ELMS STREET WELSH, LA 70591(337) 734-4730

PHY GENERAL PRACTICE 414 2500 AGES 0 - 64

KRIELOW YVONNE 708 E RUSSELL WELSH, LA 70591(337) 734-4500

NP FAMILY PRACTICE 309 1000 CURRENT PATIENTS & SIBLINGS AGES 0 - 64

WELSH FAMILY PRACTICE CLINIC INC 308 SOUTH PALMER WELSH, LA 70546(337) 734-4901

PHY CLINIC OR OTHER GROUP PRACTICE

351 500 CLOSED PANEL

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Parish Specialty Number of CommunityCARE

Providers

Maximum Capacity

Current CC Linkages Total

ALLEN OTHER 1

FAMILY PRACTICE 4

RHC 2

TOTAL: 7 19,000 3,915

BEAUREGARD OTHER 2

FAMILY PRACTICE 3

PEDIATRICS 3

INTERNAL 2

GENERAL PRACTICE

1

TOTAL: 11 28,300 4,998

CALCASIEU OTHER 12

FAMILY PRACTICE 4

INTERNAL 3

GENERAL PRACTICE

1

PEDIATRICS 3

FQHC 1

RHC 3

TOTAL: 27 142,628 31,460

CAMERON RHC 1

TOTAL: 1 1,000 220

JEFFERSON DAVIS GENERAL PRACTICE

1

OTHER 3

FAMILY PRACTICE 3

CommunityCARE Provider Summary Count By ParishREGION 5

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Parish Specialty Number of CommunityCARE

Providers

Maximum Capacity

Current CC Linkages Total

JEFFERSON DAVIS PEDIATRICS 1

RHC 2

TOTAL: 10 25,000 6,100

REGION TOTALS 56 215,928 46,693

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REGION 6

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

AVOYELLES BUNKIE BUNKIE GENERAL HOSPITAL FAMILY CARE CLINIC

510 S. COTTONWOOD ST. BUNKIE, LA 71322(318) 346-3339

RHC RURAL HEALTH CLINIC

989 3000 AGES 0 - 64

BUNKIE GENERAL HOSPITAL RURAL HEALTH CLINIC

109 N LEXINGTON AVE BUNKIE, LA 71322(318) 346-7283

RHC RURAL HEALTH CLINIC

649 3000 AGES 0 - 64

COTTONPORT

COTTONPORT FAMILY CLINIC 912 BRYAN ST COTTONPORT, LA 71327(318) 876-3696

RHC RURAL HEALTH CLINIC

1343 1000 MAX CAPACITY EXCEEDED; AGES 0 - 64

MANSURA MANSURA FAMILY CLINIC 2104 CLECO ST MANSURA, LA 71350(318) 964-2551

RHC RURAL HEALTH CLINIC

344 1000 AGES 0 - 64

MARKSVILLE GAGIC PREDRAG 313 CENTER ST MARKSVILLE, LA 71351(318) 253-8655

PHY GENERAL SURGERY 3 2500 CURRENT PATIENTS AGES 21 - 64

GOUX VINCENT 597 TUNICA DR MARKSVILLE, LA 71351(318) 253-7511

PHY FAMILY PRACTICE 207 2500 AGES 0 - 20

MANSOOR PEDIATRICS/AVOYE 338 MOREAU STREET, SUTIE C MARKSVILLE, LA 71351(318) 253-7022

PHY 112 1000

MARKSVILLE FAMILY CARE CENTER 5541 HIGHWAY 1 MARKSVILLE, LA 71351(318) 240-7240

RHC RURAL HEALTH CLINIC

2325 3500 AGES 0 - 64

MCCANN D ARRON 424 N WASHINGTON ST MARKSVILLE, LA 71351(318) 253-1788

PHY FAMILY PRACTICE 361 2500 NEW PTS AGES 0 - 20; CURRENT PATIENTS AGES 21 - 64

MOUNAYAR ELIAS 338 MOREAU STREET, SUITE D MARKSVILLE, LA 71351(318) 253-5600

PHY INTERNAL MEDICINE 267 2500 AGES 0 - 64

SIMMESPORT

KD HEALTH & WELLNESS CENTER 118 JJJ LN SIMMESPORT, LA 71369(318) 941-5286

RHC RURAL HEALTH CLINIC

243 1000 AGES 0 - 64

KUPLESKY STEPHEN 314 CHRISTNE LANE SIMMESPORT, LA 71369(318) 941-2057

PHY GENERAL PRACTICE 268 2500 AGES 0 - 64

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REGION 6

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

AVOYELLES SIMMESPORT

SIMMESPORT FAMILY CLINIC 417 N MARTIN LUTHER KING SIMMESPORT, LA 71369(318) 941-2336

RHC RURAL HEALTH CLINIC

985 1000 AGES 0 - 64

CATAHOULA JONESVILLE CONEY WILLIAM 904 1ST STREET JONESVILLE, LA 71343(318) 339-8387

PHY FAMILY PRACTICE 247 2500 AGES 6 MONTHS - 64 YEARS

LASALLE PRIMARY HEALTHCARE CENTER

2801 4TH STREET, SUITE 5 JONESVILLE, LA 71343(318) 339-9990

RHC RURAL HEALTH CLINIC

725 3000 AGES 0 - 64

RIVERPARK MEDICAL CLINIC - JONESVILLE

800 AUDUBON DRIVE JONESVILLE, LA 71343(318) 339-4112

RHC RURAL HEALTH CLINIC

403 1000 AGES 0 - 64

SICILY ISLAND

CATAHOULA PARISH HOSPITAL 307 CHISUM STREET SICILY ISLAND, LA 71368(318) 389-5727

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

407 1000 AGES 0 - 64

CONCORDIA FERRIDAY BONOMO CARRIE 1810 EE WALLACE BLVD STE 5FERRIDAY, LA 71334(318) 757-3006

PHY PEDIATRICS 1075 2500 AGES 0 - 17

CONCORIDA COMMUNITY HEALTH CENTER

1810 EE WALLACE BLVD. FERRIDAY, LA 71334(318) 757-6969

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

256 1000 AGES 0 - 64

GREMILLION MAURICE 200 SERIO BLVD FERRIDAY, LA 71334(318) 757-2000

PHY FAMILY PRACTICE 191 2500 CURRENT PATIENTS & SIBLINGS AGES 0 - 64

LEE SARAH 100 LINCOLN AVE FERRIDAY, LA 71334(318) 757-7000

PHY FAMILY PRACTICE 400 2500 AGES 0 - 64

MOAK HUEY 112 SERIO BLVD FERRIDAY, LA 71334(318) 757-3696

PHY FAMILY PRACTICE 319 2500 CURRENT PATIENTS AGES 6 MONTHS - 64 YEARS

RIVERLAND FERRIDAY CLINIC 104 LOUISIANA AVENUE FERRIDAY, LA 71334(318) 757-0210

PHY 68 3000

VIDALIA INGRAM JOHNNY 1154 LOGAN SEWELL DRIVE VIDALIA, LA 71373(318) 336-8166

PHY FAMILY PRACTICE 193 2500 CURRENT PATIENTS AGES 0 - 20

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REGION 6

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

CONCORDIA VIDALIA PEDIATRIC & ADOLESCENT CLINIC 1806 CARTER STREET VIDALIA, LA 71373(318) 336-7172

RHC RURAL HEALTH CLINIC

1161 3000 AGES 0 - 20

GRANT COLFAX CENLA RURAL HEALTH CENTERS- CO 340 WEBB SMITH DRIVE COLFAX, LA 71417(318) 627-3700

RHC RURAL HEALTH CLINIC

683 1000 AGES 0 - 64

POLLOCK CRAIG BRUCE 3819 PATTERSON ST POLLOCK, LA 71467(318) 765-3750

PHY 681 2500 AGES 0 - 64

LA SALLE JENA CHAUDHRY RIAZ 11809 HWY 84 W JENA, LA 71342(318) 992-4133

PHY INTERNAL MEDICINE 247 2500 AGES 0 - 64

LASALLE FAMILY MEDICINE 180 NINTH STREET JENA, LA 71342(318) 992-6311

PHY 886 6000

TURNLEY IDOLPHUS 2510 NORTH FIRST ST JENA, LA 71342(318) 992-2166

PHY GENERAL PRACTICE 108 2500 AGES 0 - 64

OLLA HARDTNER MEDICAL CLINIC 1136 A N. PINE ROAD OLLA, LA 71465(318) 495-3880

RHC RURAL HEALTH CLINIC

906 6500 AGES 0 - 64

RAPIDES ALEXANDRIA CENLA CHILDRENS CLINIC & ASSOC 501 MEDICAL CTR DR\STE 100 ALEXANDRIA, LA 71301(318) 487-1358

PHY 691 6000 CURRENT PATIENTS, SIBLINGS, & NEWBORNS AGES 0 - 20

CRAIG BRUCE 2913 LEE STREET ALEXANDRIA, LA 71301(318) 445-6200

PHY 957 2500 AGES 0 - 64

FAMILY MEDICINE CENTER-ALEXANDRIA

3311 PRESCOTT ROAD SUITE 210ALEXANDRIA, LA 71302(318) 487-1477

PHY 654 3000 AGES 0 - 20

HPL FAMILY MEDICINE CLINICS 2351 VANDENBURG DR ALEXANDRIA, LA 71311(318) 473-6271

PHY 696 5000 AGES 18 - 64

HPL PEDIATRIC CLINIC 2351 VANDENBURG DRIVE ALEXANDRIA, LA 71303(318) 473-6271

PHY 2237 5000 AGES 0 - 20

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REGION 6

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

RAPIDES ALEXANDRIA LSUMC-S FAMILY PRACTICE MEDICINE 821 ELLIOTT STREET ALEXANDRIA, LA 71301(318) 441-1030

PHY CLINIC OR OTHER GROUP PRACTICE

1694 17500 OPEN AGES 0 - 18; CURRENT PTS AGES 19 - 64

MALLORY VINCENT 3311 PRESCOTT ROAD ALEXANDRIA, LA 71301(318) 487-1717

PHY FAMILY PRACTICE 1 2500 CLOSED PANEL

MANSOOR PEDIATRIC 501 MEDICAL CTR DRIVE, STE 3A ALEXANDRIA, LA 71301(318) 484-3899

PHY CLINIC OR OTHER GROUP PRACTICE

6245 8500 AGES 0 - 20

MANUEL MICHAEL 301 4TH STREET ALEXANDRIA, LA 71301(318) 473-4632

PHY PEDIATRICS 368 500 LIMITED PANEL; CURRENT PTS & SIBLINGS AGES 0 - 16

PREMIER PEDIATRICS 3916 JACKSON STREET ALEXANDRIA, LA 71303(318) 487-9860

PHY 921 2000

PRIMARY CARE SPECIALIST 3802 PRESCOTT ROAD ALEXANDRIA, LA 71301(318) 487-6060

PHY CLINIC OR OTHER GROUP PRACTICE

65 5500 CLOSED PANEL

RAPIDES PRIMARY HEALTH CARE 1217 WILLOW GLEN RIVER RD ALEXANDRIA, LA 71302(318) 487-4400

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

2317 5000 AGES 0 - 64

RHODES PEDIATRIC CLINIC 37 CALVERT DR ALEXANDRIA, LA 71301(318) 443-9634

PHY CLINIC OR OTHER GROUP PRACTICE

160 5500 CURRENT PATIENTS AND SIBLINGS AGES 0 - 20

SOUTHERN PEDIATRIC CLINIC 1416 METRO DRIVE ALEXANDRIA, LA 71303(318) 561-4200

PHY CLINIC OR OTHER GROUP PRACTICE

2828 5000 AGES 0 - 20

TULANE HP LONG OBSTETRICS 2351 VANDENBURG DRIVE ALEXANDRIA, LA 71303(318) 483-7122

PHY CLINIC OR OTHER GROUP PRACTICE

211 5000 FEMALES ONLY, AGES 12 - 64

BALL VERMA DEVINDER 6118-B MONROE HWY STE BBALL, LA 71405(318) 640-7366

PHY INTERNAL MEDICINE 181 2500 AGES 21 - 64

LECOMPTE RAPIDES REGIONAL PHYSICIAN GROUP 1610 WATER STREET LECOMPTE, LA 71346(318) 776-9340

PHY 898 5500

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REGION 6

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

RAPIDES PINEVILLE CENLA CHILDRENS CLINIC & ASSOC 101 MEDICAL PARK BLVD STE APINEVILLE, LA 71360(318) 561-0252

PHY 1005 3000 CURRENT PATIENTS, SIBLINGS, & NEWBORNS AGES 0 - 20

HEALTHY STEPS PEDIATRICS 192 STILLEY RD PINEVILLE, LA 71360(318) 484-3401

RHC RURAL HEALTH CLINIC

2511 3000 AGES 0 - 17

PATEL NIRANJAN 3113 HWY 28 EAST SUITE EPINEVILLE, LA 71360(318) 767-2222

PHY PEDIATRICS 1116 2500 AGES 0 - 64

WOODWORTH

WOODWORTH FAMILY MEDICINE INC 9372 HWY 165 SOUTH WOODWORTH, LA 71485(318) 484-9588

RHC RURAL HEALTH CLINIC

968 3000 AGES 0 - 64

VERNON LEESVILLE ALAMMAR MEDICAL CLINIC PLLC 1760 S 5TH STREET LEESVILLE, LA 71446(337) 238-5700

PHY CLINIC OR OTHER GROUP PRACTICE

261 2500 AGES 0 - 64

BEG MIRZA 935 VERONE TERRACE STE BLEESVILLE, LA 71446(337) 238-6952

PHY PEDIATRICS 1275 2500 AGES 0 - 20

DEER CREEK MEDICAL CENTER 301 W. FERTITTA BLVD. LEESVILLE, LA 71446(337) 238-0167

PHY CLINIC OR OTHER GROUP PRACTICE

805 5500 AGES 0 - 21; CURRENT PATIENTS AGES 22 - 64

KHATEEB NAILA 1022 PORT ARTHUR TERRACE LEESVILLE, LA 71446(337) 238-9063

PHY PEDIATRIC ENDOCRINOLOGY, PEDIATRICS

766 2500 AGES 0 - 40

LUBBOS MEDICAL CLINIC INC 201 W. ARKANSAS STREET LEESVILLE, LA 71446(337) 239-7227

PHY CLINIC OR OTHER GROUP PRACTICE

16 5000 CLOSED PANEL

OUTPATIENT MEDICAL CENTER INC 1603 BOONE ST STE BLEESVILLE, LA 71446(337) 238-1274

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

239 2500 AGES 0 - 64

THE PEDIATRIC CENTER 802 S. 10TH STREET, SUITE C LEESVILLE, LA 71446(337) 239-2207

PHY 1050 3000

VO MEDICAL CLINIC APMC 1017 W FERTITTA BLVD LEESVILLE, LA 71446(337) 239-2606

PHY CLINIC OR OTHER GROUP PRACTICE

839 5000 AGES 0 - 64

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REGION 6

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

VERNON ROSEPINE BYRD MEDICAL CLINIC 18570 JOHNNY B HALL RD ROSEPINE, LA 70659(337) 462-1913

PHY CLINIC OR OTHER GROUP PRACTICE

237 2500 AGES 12 - 64

WINN WINNFIELD COLLIER L .R. 301 B WEST BOUNDARY WINNFIELD, LA 71483(318) 628-2151

PHY GENERAL SURGERY 96 100 LIMITED PANEL; AGES 21 - 64

SHALOM CLINIC FOR CHILDREN 609 WEST COURT ST STE BWINNFIELD, LA 71483(318) 628-5518

RHC RURAL HEALTH CLINIC

1152 2500 AGES 0 - 20

WINN COMMUNITY HEALTH CENTER 431 W. LAFAYETTE STREET WINNFIELD, LA 71483(318) 648-0375

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

596 2000 AGES 0 - 64

MISSISSIPPI NATCHEZ NATCHEZ PEDIATRIC CLINIC 136 JEFFERSON DAVIS BLVD STE ANATCHEZ, MS 39120(601) 442-5439

PHY CLINIC OR OTHER GROUP PRACTICE

780 5000 AGES 0 - 20

STRETCH T BRIAN 55 SEARGENT S. PRENTISS STE 7NATCHEZ, MS 39120(601) 445-9543

PHY PEDIATRICS 308 2500 AGES 0 - 20

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Parish Specialty Number of CommunityCARE

Providers

Maximum Capacity

Current CC Linkages Total

AVOYELLES GENERAL PRACTICE

1

INTERNAL 1

FAMILY PRACTICE 2

RHC 7

OTHER 2

TOTAL: 13 27,000 8,096

CATAHOULA RHC 2

FAMILY PRACTICE 1

FQHC 1

TOTAL: 4 7,500 1,782

CONCORDIA OTHER 1

RHC 1

FAMILY PRACTICE 4

PEDIATRICS 1

FQHC 1

TOTAL: 8 19,500 3,663

GRANT RHC 1

OTHER 1

TOTAL: 2 3,500 1,364

LA SALLE GENERAL PRACTICE

1

OTHER 1

INTERNAL 1

RHC 1

CommunityCARE Provider Summary Count By ParishREGION 6

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Parish Specialty Number of CommunityCARE

Providers

Maximum Capacity

Current CC Linkages Total

LA SALLE TOTAL: 4 17,500 2,147

MISSISSIPPI OTHER 1

PEDIATRICS 1

TOTAL: 2 7,500 1,088

RAPIDES PEDIATRICS 2

FQHC 1

RHC 2

OTHER 14

FAMILY PRACTICE 1

INTERNAL 1

TOTAL: 21 98,000 26,724

VERNON FQHC 1

OTHER 6

PEDIATRICS 2

TOTAL: 9 31,000 5,488

WINN FQHC 1

RHC 1

OTHER 1

TOTAL: 3 4,600 1,844

REGION TOTALS 66 216,100 52,196

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REGION 7

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

BIENVILLE ARCADIA BIENVILLE FAMILY CLINC - ARCADIA 1175 PINE ST STE 100ARCADIA, LA 71001(318) 263-7970

RHC RURAL HEALTH CLINIC

666 3500 AGES 0 - 64

WILLIS MEDICAL LLC 600 FACTORY OUTLET DR STE 12ARCADIA, LA 71001(318) 263-4701

PHY CLINIC OR OTHER GROUP PRACTICE

1859 2500 AGES 0 - 18

RINGGOLD CHRISTUS COUSHATTA RINGOLD RH 3342 BIENVILLE RD. RINGGOLD, LA 71068(318) 894-9137

RHC RURAL HEALTH CLINIC

619 1000 AGES 0 - 64

BOSSIER BENTON BENTON FAMILY MEDICINE LLC 188 BURT BLVD. BENTON, LA 71006(318) 965-1000

PHY CLINIC OR OTHER GROUP PRACTICE

521 3000

BOSSIER DAVID RAINES COMMUNITY HEALTH CENTER

1514 DOCTORS DR 3RD FLOORBOSSIER, LA 71111(318) 549-2500

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

2928 3000 AGES 0 - 64

WK BOSSIER PEDIATRIC PARTNERS 2300 HOSPITAL DRIVE, SUITE 120 BOSSIER, LA 71111(318) 212-7883

PHY 1244 7500

BOSSIER CITY

MANCHANDIA MANOHAR 2706 SHED ROAD BOSSIER CITY, LA 71111(318) 747-5272

PHY PEDIATRICS 2469 2500 AGES 0 - 13; BLOCKED AGES 14 - 17

HAUGHTON ACORN TO OAK PEDIATRICS 1025 HWY 80 EAST HAUGHTON, LA 71037(318) 949-0539

PHY 76 3000

PLAIN DEALING

NCMC PLAIN DEALING MEDICIAL CLINIC 108 N. LOUISIANA STREET PLAIN DEALING, LA 71064(318) 326-7272

RHC RURAL HEALTH CLINIC

873 3000 ACCEPTING AGES 0 - 18 ONLY

CADDO GILLIAM DAVID RAINES COMMUNITY HEALTH / GILLIAM

12763 LAY STREET GILLIAM, LA 71029(318) 296-4287

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

447 1000 AGES 0 - 64

OIL CITY WK OIL CITY MEDICAL CLINIC 103 SOUTH LOUISIANA HWY 1 OIL CITY, LA 71061(318) 995-6504

PHY FAMILY PRACTICE 93 2500

SHREVEPORT

CHRISTUS SCHUMPERT HOSP 1534 ELIZABETH ST, SUITE 302 SHREVEPORT, LA 71101(318) 681-7960

PHY CLINIC OR OTHER GROUP PRACTICE

1558 5000

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REGION 7

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

CADDO SHREVEPORT

CLAYTON TONYA 6821 PINES RD STE 200SHREVEPORT, LA 71129(318) 671-9309

PHY PEDIATRICS 485 500 LIMITED PANEL;CURRENT PTS & FMLY MEMBERS AGES 0-64

DAVID RAINES COMM HEALTH CENTER 1625 DAVID RAINES ROAD SHREVEPORT, LA 71107(318) 425-2252

FQHC 2391 2500 AGES 0 - 64

HARRIS LINDA 4571 NORTH MARKET SHREVEPORT, LA 71107(318) 222-4041

PHY PEDIATRICS 2240 2500 CLOSED PANEL

HATHORN-JR ALFRED 2120 BERT KOUNS STE LSHREVEPORT, LA 71118(318) 686-8197

PHY PEDIATRICS 3175 2500 MAX CAPACITY EXCEEDED; AGES 0 - 20

HENSON STEPHANIE 1801 FAIRFIELD AVE STE 201SHREVEPORT, LA 71101(318) 848-2810

PHY PEDIATRICS 1253 2500 CURRENT PATIENTS AND NEWBORNS AGES 0 - 15

HOLLIWAY BRONDWYN 3824 HEARNE AVE SHREVEPORT, LA 71103(318) 635-8606

PHY PEDIATRICS 2655 2500 AGES 0 - 20

IBRAHIM ABUBAKAR 6821 PINES RD SHREVEPORT, LA 71129(318) 686-1522

PHY FAMILY PRACTICE 2351 2500 AGES 0 - 64

LOUD SUYAH 4140 HOLLYWOOD AVE, SUITE B-Z SHREVEPORT, LA 71109(318) 946-8183

PHY PEDIATRICS 710 2500 AGES 0 - 15

LSU CHILDRENS CLINIC 1602 KINGS HWY,#110 SHREVEPORT, LA 71103(318) 675-8600

PHY 9468 12000 LIMITED PANEL; AGES 0 - 17

LSU FAMILY MEDICINE 1501 KINGS HWY SHREVEPORT, LA 71103(318) 675-5805

PHY 2849 47000 AGES 0 - 64

LSU INTERNAL MEDICINE CLINIC 1501 KINGS HWY SHREVEPORT, LA 71103(318) 813-2562

PHY 1196 20000 AGES 21 - 64

MID CITY PEDIATRICS 2225 LINE AVENUE SHREVEPORT, LA 71104(318) 221-2225

PHY CLINIC OR OTHER GROUP PRACTICE

217 17500 CLOSED PANEL

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REGION 7

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

CADDO SHREVEPORT

PEDIATRIC ASSOCIATES OF SHREVEPORT

1717 EAST BERT KOUNS SHREVEPORT, LA 71105(318) 524-1717

PHY CLINIC OR OTHER GROUP PRACTICE

1419 2000 CURRENT PATIENTS AGES 0 - 20

REGINA FAKNER MD LLC 845 OLIVE STREET, SUITE A SHREVEPORT, LA 71104(318) 226-4892

PHY CLINIC OR OTHER GROUP PRACTICE

3625 4000 AGES 0 - 18

ROUSSEAU JEAN 4140 HOLLYWOOD AVE. SHREVEPORT, LA 71109(318) 621-9600

PHY GENERAL SURGERY 2393 2500 AGES 1 - 64

SATALURI SESHA 1801 FAIRFIELD AVE #400 SHREVEPORT, LA 71101(318) 848-2830

PHY INTERNAL MEDICINE 637 2500 AGES 21 - 64

SENFF TOM 1534 ELIZABETH AVENUE SHREVEPORT, LA 71101(318) 673-8320

PHY INTERNAL MEDICINE 701 2500 AGES 21 - 64

SHREVEPORT FAMILY MED / KIDMED 7505 PINES RD STE 1250SHREVEPORT, LA 71129(318) 686-3770

PHY CLINIC OR OTHER GROUP PRACTICE

2937 3000 MAX CAPACITY EXCEEDED; AGES 0 - 64

TOGUN KIKELOMO 214 WEST 70TH ST. SUITE 104 SHREVEPORT, LA 71106(318) 869-2181

PHY PEDIATRICS 2450 2500 AGES 0 - 40

WEBB ETHAN 1801 FAIRFIELD AVE STE 210SHREVEPORT, LA 71101(318) 220-7047

PHY INTERNAL MEDICINE 6 6 CLOSED PANEL

WERNER CHARLES 1534 ELIZABETH AVENUE SHREVEPORT, LA 71101(318) 673-8320

PHY INTERNAL MEDICINE 524 2500 AGES 21 - 64

WILLIAMS MELITA 6821 PINES ROAD SUITE 400SHREVEPORT, LA 71129(318) 686-7109

PHY FAMILY PRACTICE 1618 2500 CURRENT PATIENTS AND SIBLINGS AGES 0 - 20

WK CENTER FOR PEDIATRICS - SOUTH 2518 BERT KOUNS SHREVEPORT, LA 71118(318) 212-5437

PHY CLINIC OR OTHER GROUP PRACTICE

2253 12500 CURRENT PTS & SIBLINGS, NEWBORNS AGES 0 - 1MONTH

WK PORTICO PEDIATRICS 7847 YOUREE DRIVE SHREVEPORT, LA 71105(318) 212-3930

PHY CLINIC OR OTHER GROUP PRACTICE

1054 5000 NEWBORNS SEEN @ TIME OF BIRTH & CURRENT PTS ONLY

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REGION 7

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

CADDO SHREVEPORT

YERRAPRAGGADA SREEDEVI 1534 ELIZABETH AVENUE SHREVEPORT, LA 71101(318) 673-8320

PHY INTERNAL MEDICINE 575 2500 AGES 21 - 64

VIVAN NORTH CADDO MEDICAL CENTER 1003 S SPRUCE STREET VIVAN, LA 71082(318) 375-3239

RHC RURAL HEALTH CLINIC

2288 11000 AGES 0 - 64

CLAIBORNE HAYNESVILLE

BUTLER-ABSHIRE RURAL HEALTH CLINIC

926 FRANCES DRIVE HAYNESVILLE, LA 71038(318) 624-0554

RHC RURAL HEALTH CLINIC

279 5500 AGES 0 - 64

DAVID RAINES COMM HEALTH CENTER 1953 MAIN STREET HAYNESVILLE, LA 71038(318) 624-1995

FQHC 147 1000 AGES 0 - 64

HOMER CLAIBORNE FAMILY MEDICAL CLINIC 912 WEST MAIN HOMER, LA 71040(318) 927-3571

PHY CLINIC OR OTHER GROUP PRACTICE

635 5000 AGES 0 - 64

FAMILY MEDICAL CLINIC OF HOMER 104 MORRIS CIRCLE HOMER, LA 71040(318) 927-6777

PHY CLINIC OR OTHER GROUP PRACTICE

900 3500 AGES 0 - 64

WK CLAIBORNE REGIONAL HEALTH CENTER

104 MORRIS CIRCLE HOMER, LA 71040(318) 927-1110

RHC RURAL HEALTH CLINIC

452 3500 AGES 0 - 64

DE SOTO LOGANSPORT

DESOTO REGIONAL FAMILY MEDICINE LOGANSPORT

110 MAIN STREET LOGANSPORT, LA 71049(318) 697-2273

RHC RURAL HEALTH CLINIC

639 2500 AGES 0 - 64

MANSFIELD COMMUNITY HEALTH INSTITUTE 907 POLK STREET MANSFIELD, LA 71052(318) 872-1015

RHC 418 1000 AGES 0 - 64

DESOTO REGIONAL FAMILY MEDICINE 130 JEFFERSON STREET MANSFIELD, LA 71052(318) 872-2700

PHY CLINIC OR OTHER GROUP PRACTICE

2120 13000 AGES 0 - 64

NATCHITOCHES NATCHITOCHES

BLACK JORGE 617 BIENVILLE ST. NATCHITOCHES, LA 71457(318) 238-5040

PHY PEDIATRICS 772 2500 AGES 0 - 20

BREAZEALE ARCHIE 108 TOULINE NATCHITOCHES, LA 71457(318) 352-3804

PHY GENERAL PRACTICE 47 2500 CURRENT PATIENTS AGES 21 - 64

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REGION 7

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

NATCHITOCHES NATCHITOCHES

CORNERSTONE PEDIATRICS 1055 PKWY DR, STE A NATCHITOCHES, LA 71457(318) 352-6464

PHY CLINIC OR OTHER GROUP PRACTICE

2862 7500 CURRENT PATIENTS AGES 0 - 17

FAIR JACK MD 615 BIENVILLE STREET NATCHITOCHES, LA 71457(318) 352-6800

PHY FAMILY PRACTICE 139 2500

HOGG JOHN 615 BIENVILLE STREET NATCHITOCHES, LA 71457(318) 352-6800

PHY FAMILY PRACTICE 298 2500 OPEN AGES 0 - 3 MONTHS; CURRENT PTS AGES 4M - 20YR

OLATINWO OLUWATOYIN 740 KEYSER AVE, SUITE F NATCHITOCHES, LA 71457(318) 238-5050

PHY INTERNAL MEDICINE 86 2500

OUTPATIENT MEDICAL CTR INC @ NATCHITOCHES

1640 BREAZEALE SPRINGS STREET NATCHITOCHES, LA 71457(318) 352-9299

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

1327 7500 AGES 0 - 64

SHALOM CLINIC FOR CHILDREN AP 405 BIENVILLE STREET NATCHITOCHES, LA 71457(318) 356-7211

PHY CLINIC OR OTHER GROUP PRACTICE

1956 5000 OPEN AGES 0 - 1; BLOCKED AGES 2 - 18

RED RIVER COUSHATTA CHRISTUS COUSHATTA RURAL HEALTH CENTER

1633 MARVEL STREET COUSHATTA, LA 71019(318) 932-2222

RHC RURAL HEALTH CLINIC

368 3000 AGES 0 - 64

D GREGORY BELL MD AND WILLIS-KNIGHTON MEDICAL CENTER FAMILY PRACTICE

1633 MARVAL STREET COUSHATTA, LA 71019(318) 932-2170

PHY CLINIC OR OTHER GROUP PRACTICE

777 2500 AGES 0 - 64

HOLLOWAY ESTHER 1633 MARVEL ST COUSHATTA, LA 71019(318) 932-8937

PHY FAMILY PRACTICE 381 2500 AGES 0 - 64

WYCHE T COLEMAN JR. LLC 1633 MARVEL ST. COUSHATTA, LA 71019(318) 932-9980

PHY CLINIC OR OTHER GROUP PRACTICE

1228 3000 AGES 0 - 64

SABINE MANY HUSAM SUKEREK MD 210 HIGHLAND DRIVE MANY, LA 71449(318) 256-5722

RHC RURAL HEALTH CLINIC

1565 2500 AGES 0 - 20

SABINE MEDICAL CENTER RURAL HEALTH CLINIC #1

395 S CAPITAL MANY, LA 71449(318) 256-2000

RHC RURAL HEALTH CLINIC

1042 8000 AGES 0 - 64

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REGION 7

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

SABINE ZWOLLE SABINE MEDICAL CENTER RURAL HEALTH CLINIC #2

1015 OBRIE ST ZWOLLE, LA 71486(318) 645-6161

RHC RURAL HEALTH CLINIC

396 2500 AGES 0 - 64

ZWOLLE RURAL CLINIC 2026 OBRIE ST ZWOLLE, LA 71486(318) 645-6013

RHC RURAL HEALTH CLINIC

306 1000 AGES 0 - 64

WEBSTER MINDEN BLAKE-MCMAHON ANDREA 129 MINDEN SHOPPING CENTER DR MINDEN, LA 71055(318) 741-8100

PHY INTERNAL MEDICINE 614 2500 AGES 0 - 64

BOLGER JOSEPH #3 MEDICAL PLAZA MINDEN, LA 71055(318) 377-7118

PHY FAMILY PRACTICE 64 200 LIMITED PANEL; AGES 0 - 20

DAVID RAINES COMM HEALTH CENTER 128 HOMER ROAD MINDEN, LA 71055(318) 377-1545

FQHC 378 1000 AGES 0 - 64

FAMILY MEDICINE ASSOCIATES 1111 HOMER ROAD MINDEN, LA 71055(318) 377-7500

RHC RURAL HEALTH CLINIC

818 3500 AGES 0 - 64

IRIZARRY FAMILY PRACTICE LLC 2 MEDICAL PLAZA MINDEN, LA 71055(318) 377-8400

PHY 523 3000

MINDEN FAMILY CARE CENTER 208 MORRIS DRIVE MINDEN, LA 71055(318) 377-8260

RHC RURAL HEALTH CLINIC

1200 6500 AGES 0 - 64

MINDEN FAMILY MEDICINE NO 3 MEDICAL PLAZA MINDEN, LA 71055(318) 377-7134

PHY CLINIC OR OTHER GROUP PRACTICE

197 200 LIMITED PANEL; AGES 0 - 20

MINDEN PEDIATRICS LLC 607 FLEMING LN MINDEN, LA 71055(318) 377-7116

PHY CLINIC OR OTHER GROUP PRACTICE

1957 4500 AGES 0 - 20

STELL FAMILY PRACTICE 102 OFFICE PARK DRIVE MINDEN, LA 71055(318) 377-2885

PHY CLINIC OR OTHER GROUP PRACTICE

551 3000 AGES 0 - 64

WAFER MARTHA 102 MONROE STREET, SUITE B MINDEN, LA 71055(318) 382-4900

PHY FAMILY PRACTICE 275 2500 AGES 0 - 64

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REGION 7

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

WEBSTER SAREPTA NORTH WEBSTER MEDICAL CLINIC 106 TRI-STATE DRIVE SAREPTA, LA 71071(318) 994-2266

PHY CLINIC OR OTHER GROUP PRACTICE

368 1000 AGES 0 - 64

SIBLEY PHILLIPS, GREGORY & SCOTT MD 382 N MAIN ST SIBLEY, LA 71073(318) 382-9401

PHY FAMILY PRACTICE 366 2500 AGES 0 - 64; ACCEPTS NEW PTS AGES 0 - 17 ONLY

SPRINGHILL SMC/DOCTORS CLINIC 401 11TH N.E. SPRINGHILL, LA 71075(318) 539-1700

RHC RURAL HEALTH CLINIC

1198 13000 AGES 0 - 64

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Parish Specialty Number of CommunityCARE

Providers

Maximum Capacity

Current CC Linkages Total

BIENVILLE OTHER 1

RHC 2

TOTAL: 3 7,000 3,144

BOSSIER RHC 1

OTHER 3

FQHC 1

PEDIATRICS 1

TOTAL: 6 22,000 8,111

CADDO OTHER 12

PEDIATRICS 7

FQHC 1

RHC 1

FAMILY PRACTICE 3

INTERNAL 5

TOTAL: 29 178,006 53,568

CLAIBORNE RHC 2

OTHER 3

TOTAL: 5 18,500 2,413

DE SOTO RHC 2

OTHER 1

TOTAL: 3 16,500 3,177

NATCHITOCHES GENERAL PRACTICE

1

PEDIATRICS 1

INTERNAL 1

CommunityCARE Provider Summary Count By ParishREGION 7

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Parish Specialty Number of CommunityCARE

Providers

Maximum Capacity

Current CC Linkages Total

NATCHITOCHES FQHC 1

OTHER 2

FAMILY PRACTICE 2

TOTAL: 8 32,500 7,487

RED RIVER OTHER 2

FAMILY PRACTICE 1

RHC 1

TOTAL: 4 11,000 2,754

SABINE RHC 4

TOTAL: 4 14,000 3,309

WEBSTER OTHER 6

FAMILY PRACTICE 3

RHC 3

INTERNAL 1

TOTAL: 13 43,400 8,509

REGION TOTALS 75 342,906 92,472

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REGION 8

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

CALDWELL COLUMBIA CITIZENS RURAL CLINIC 484 COLLINS ROAD, SUITE A COLUMBIA, LA 71418(318) 649-5300

RHC RURAL HEALTH CLINIC

1236 9000 AGES 0 - 64

SHROFF PANKAJRAI 7937 US HIGHWAY 165 COLUMBIA, LA 71418(318) 649-2621

PHY INTERNAL MEDICINE 14 2500 CURRENT PATIENTS AGES 21 - 64

WINTERS CLINIC 421 MAIN STREET COLUMBIA, LA 71418(318) 649-6157

RHC RURAL HEALTH CLINIC

753 5500 AGES 0 - 64

EAST CARROLL LAKE PROVIDENCE

FAMILY MEDICAL CLINIC 300 SCARBOROUGH STREET LAKE PROVIDENCE, LA 71254(318) 559-2814

RHC RURAL HEALTH CLINIC

567 3000 AGES 0 - 64

LAKE PROVIDENCE MEDICAL CLINIC 319 NORTH HOOD STREET LAKE PROVIDENCE, LA 71254(318) 559-1221

RHC RURAL HEALTH CLINIC

642 5500 AGES 0 - 64

THE FAMILY PRACTICE CLINIC 320 NORTH HOOD STREET LAKE PROVIDENCE, LA 71254(318) 559-2404

RHC RURAL HEALTH CLINIC

1625 7000 AGES 0 - 64

FRANKLIN WINNSBORO COLVIN MEDICAL CORPORATION 2106-A LOOP RD WINNSBORO, LA 71295(318) 435-8020

PHY CLINIC OR OTHER GROUP PRACTICE

1050 3000 AGES 0 - 64

COUGHRAN MEDICAL CORPORATION 2106-A LOOP ROAD WINNSBORO, LA 71295(318) 435-8020

PHY 904 3500 AGES 0 - 64

FRANKLIN MEDICAL CENTER RHC WINNSBORO

2104 C LOOP ROAD WINNSBORO, LA 71295(318) 435-4571

RHC RURAL HEALTH CLINIC

773 3500 AGES 0 - 64

WINNSBORO MEDICAL CLINIC 3326 FRONT ST STE BWINNSBORO, LA 71295(318) 435-7333

PHY CLINIC OR OTHER GROUP PRACTICE

1230 4500 AGES 0 - 64

WISNER WISNER MEDICAL CLINIC 126 WATSON STREET WISNER, LA 71378(318) 724-7008

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

307 3000 AGES 0 - 64

WISNER RURAL HEALTH CLINIC 176 WATSON WISNER, LA 71378(318) 724-6789

RHC RURAL HEALTH CLINIC

364 1000 AGES 0 - 64

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REGION 8

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

JACKSON CHATHAM CHATHAM MEDICAL CLINIC 804 CHATHAM AVENUE CHATHAM, LA 71251(318) 249-3200

PHY CLINIC OR OTHER GROUP PRACTICE

136 1000 AGES 0 - 64

JONESBORO AGARWAL KUSHAL 510 ALEXANDER STREET JONESBORO, LA 71251(318) 259-2148

PHY 277 2500 AGES 7 MONTHS - 64 YEARS

CROUCH REBECCA 166 BEECH SPRINGS JONESBORO, LA 71251(318) 259-3668

PHY GENERAL SURGERY 241 2500 AGES 1 - 64

JONESBORO FAMILY CARE CLINIC 121 WATTS STREET, STE A,B,E&F JONESBORO, LA 71251(318) 259-5636

RHC RURAL HEALTH CLINIC

486 6000 AGES 0 - 64

JONSEBORO JACKSON PARISH HOSPITAL FAMILY CARE CLINIC

107 WATTS STREET JONSEBORO, LA 71251(318) 395-2121

RHC RURAL HEALTH CLINIC

1184 2500 AGES 0 - 64

LINCOLN RUSTON AGARWAL KUSHAL 411 EAST VAUGHN, SUITE 102 RUSTON, LA 71270(318) 232-0019

PHY 257 2500 AGES 7 MONTHS - 64 YEARS

BELUE JAMES 411 EAST VAUGHN, STE 105 RUSTON, LA 71270(318) 251-3774

PHY FAMILY PRACTICE 1572 2500 AGES 0 - 64

CONVILLE STACY 1809 NORTH POINTE LN, STE 102 RUSTON, LA 71270(318) 251-8232

PHY FAMILY PRACTICE 347 2500 AGES 0 - 64

FAMILY FIRST MEDICINE APMC 1503 GOODWIN RD STE 207RUSTON, LA 71270(318) 513-1950

RHC RURAL HEALTH CLINIC

879 2500 AGES 0 - 64

GREEN CLINIC LLC 1200 S. FARMERVILLE ST. RUSTON, LA 71270(318) 255-3690

PHY 1576 10000 CURRENT PATIENTS AGES 0 - 18

GREEN CLINIC LLC 1200 SOUTH FARMERVILLE RUSTON, LA 71270(318) 255-3690

PHY 9 20 CLOSED PANEL

GREEN CLINIC LLC 1402 CELEBRITY DRIVE RUSTON, LA 71270(318) 255-1515

PHY 438 7500 LIMITED PANEL; AGES 0 - 18; CLOSED AGES 19 - 64

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REGION 8

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

LINCOLN RUSTON GREEN CLINIC LLC 1200 S. FARMERVILLE STREET RUSTON, LA 71270(318) 255-3690

PHY 39 40 LIMITED PANEL; AGES 21 - 64

GREEN CLINIC LLC 1200 S. FARMERVILLE STREET RUSTON, LA 71270(318) 255-3690

PHY 38 40 LIMITED PANEL; AGES 21 - 64

HERBERT ALLEN 411 EAST VAUGHN, STE 203 RUSTON, LA 71270(318) 255-7474

PHY GENERAL PRACTICE 260 2500 CURRENT PATIENTS AGES 0 - 64

MCINTYRE BRENDA 206 E REYNOLDS DR., SUITE C #3 RUSTON, LA 71270(318) 255-4112

PHY PEDIATRICS 904 2500 AGES 0 - 17

MADISON TALLULAH BROWN EVERETT 10 CROTHERS DRIVE SUITE 4TALLULAH, LA 71282(318) 574-2764

PHY PEDIATRICS 376 2500 AGES 0 - 64

CHENIER LAWRENCE 1000 JOHNSON ST TALLULAH, LA 71282(318) 574-5974

PHY GENERAL PRACTICE 597 2500 AGES 0 - 64

MADISON PARISH HOSPITAL RURAL 212 S. CHESTNUT STREET TALLULAH, LA 71282(318) 574-3575

RHC 1225 3000

OUTPATIENT MEDICAL CENTER INC 804 BEECH STREET TALLULAH, LA 71282(318) 574-1453

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

868 5000 AGES 0 - 64

MOREHOUSE BASTROP COATS V JOHN 327 WEST HICKORY AVE BASTROP, LA 71220(318) 556-3071

PHY FAMILY PRACTICE 291 900 LIMITED PANEL; AGES 6 - 64

FAMILY MEDICAL CENTER 540 DURHAM STREET BASTROP, LA 71220(318) 283-2200

PHY 425 2500 AGES 0 - 64

MOREHOUSE COMMUNITY MEDICAL CENTER

518 DURHAM STREET BASTROP, LA 71220(318) 283-8887

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

1758 3500 AGES 0 - 64

MOREHOUSE GENERAL HOSPITAL 420 S VINE STREET BASTROP, LA 71220(318) 283-3032

PHY 21 2500

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REGION 8

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

MOREHOUSE BASTROP NOBLE JACK 355 W HICKORY STREET BASTROP, LA 71220(318) 281-4450

PHY FAMILY PRACTICE 13 2500 CURRENT PATIENTS AGES 21 - 64

TRAN ANDY 365 WEST HICKORY BASTROP, LA 71220(318) 283-5999

PHY FAMILY PRACTICE 422 2500

TREJO DANIEL 511 GUNBY AVENUE BASTROP, LA 71220(318) 281-2410

PHY FAMILY PRACTICE 905 2500 CURRENT PATIENTS AND NEWBORNS AGES 0 - 64

MER ROUGE ALLEN L SPIRES MD APMC 301 DAVENPORT AVE MER ROUGE, LA 71261(318) 647-5008

PHY CLINIC OR OTHER GROUP PRACTICE

1773 3000 AGES 0 - 64

FAMILY MEDICAL CLINIC OF MER ROUGE

205 SOUTH DAVENPORT AVE. MER ROUGE, LA 71261(318) 647-3720

PHY CLINIC OR OTHER GROUP PRACTICE

1203 3000 AGES 0 - 64

MOREHOUSE COMMUNITY MEDICAL CENTER

108 N 16TH STREET MER ROUGE, LA 71261(318) 239-8010

FQHC 28 1000

OUACHITA CALHOUN NISHAT ARIFA 3057 HWY 80 WEST CALHOUN, LA 71225(318) 644-4412

PHY FAMILY PRACTICE, LSU MEDICAL CENTER SHREVEPORT

66 2500

MONROE ACHILIHU GODFREY 614 N 2ND ST MONROE, LA 71201(318) 330-9330

PHY CARDIOVASCULAR DISEASE, INTERNAL MEDICINE

99 2500 AGES 21 - 64

BATTLES CAROLINE 2221 JUSTICE MONROE, LA 71201(318) 329-3395

PHY FAMILY PRACTICE 9 2500 CURRENT PATIENTS AGES 0 - 64

FAMILY MEDICAL CENTER 3510 MEDICAL PARK DR SUITE 8MONROE, LA 71203(318) 325-3332

PHY 1329 2500 AGES 0 - 64

INTERNAL MEDICINE OF THE TWIN CITIES

3510 MEDICAL PARK DR STE 9MONROE, LA 71203(318) 388-6050

PHY CLINIC OR OTHER GROUP PRACTICE

91 5000 CURRENT PATIENTS AGES 21 - 64

KIDHEALTH LLC 5000 FORSYTHE BYPASS SUITE 2MONROE, LA 71201(318) 812-0168

PHY CLINIC OR OTHER GROUP PRACTICE

749 2500 AGES 0 - 20

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REGION 8

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

OUACHITA MONROE LAPITE OLADAPO 306 STONE AVENUE MONROE, LA 71202(318) 323-1040

PHY FAMILY PRACTICE 915 2500 AGES 0 - 35

LSU-MONROE\EA CONWAY-ADULT CLINIC

4864 JACKSON STREET MONROE, LA 71202(318) 330-7167

PHY 484 15500 AGES 13 - 64

LSU-MONROE\EA CONWAY-FAMILY 4864 JACKSON ST. MONROE, LA 71202(318) 330-7600

PHY 1248 10000 AGES 0 - 64

LSU-MONROE\EA CONWAY-PEDIACTRIC 4864 JACKSON STREET MONROE, LA 71202(318) 330-7169

PHY 1048 5500 AGES 0 - 12

NORTHEAST RURAL HEALTH 2101 TOWER DRIVE MONROE, LA 71201(318) 387-4878

PHY 2180 3000 AGES 0 - 64

PATTERSON JAMES 1511 ORANGE STREET MONROE, LA 71202(318) 322-7798

PHY FAMILY PRACTICE 553 2500 AGES 3 - 64

PEDIATRICS PLUS AMC 3401 MAGNOLIA COVE MONROE, LA 71203(318) 325-6311

PHY CLINIC OR OTHER GROUP PRACTICE

330 5500 CURRENT PATIENTS AND SIBLINGS AGES 0 - 15

PRIMARY HEALTH SERVICES CENTER 850 SOUTH SECOND STREET MONROE, LA 71202(318) 651-0041

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

1091 3500 AGES 0 - 64

PRIMARY HEALTH SERVICES CENTER 2913 DESIARD STREET MONROE, LA 71202(318) 651-9914

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

2592 7500 AGES 0 - 64

PROGRESSIVE PEDIATRICS 3116 KILPATRICK BLVD MONROE, LA 71201(318) 410-9898

PHY CLINIC OR OTHER GROUP PRACTICE

338 400 LIMITED PANEL; CURRENT PTS AGES 0 - 20

RANDY W HEAD MD APMC 600 GRAMMONT STREET MONROE, LA 71201(318) 387-3888

PHY CLINIC OR OTHER GROUP PRACTICE

2629 3000 MAX CAPACITY EXCEEDED; AGES 0 - 64

SOLE CARE LLC 2803 EVANGELINE ST MONROE, LA 71201(318) 325-0325

PHY CLINIC OR OTHER GROUP PRACTICE

522 3000 AGES 0 - 64

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REGION 8

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

OUACHITA MONROE ST FRANCIS CONVENIENCE CLINIC 920 OLIVER RD., STE. 1600 MONROE, LA 71201(318) 327-6220

PHY CLINIC OR OTHER GROUP PRACTICE

2957 5000 AGES 0 - 64

ST FRANCIS HEALTHY KIDS CLINIC 3510 MEDICAL PARK DR, SUITE 3 MONROE, LA 71203(318) 966-6165

PHY CLINIC OR OTHER GROUP PRACTICE

2472 9000 AGES 0 - 20

STERLINGTON HEALTH CLINIC 1470 GARRETT ROAD MONROE, LA 71202(318) 387-2981

PHY 630 3000

WALTERS KERMIT 1910 JACKSON STREET MONROE, LA 71202(318) 325-7998

PHY FAMILY PRACTICE 1475 2500 AGES 0 - 64

WILLIAMS THOMAS 516 LINCOLN ROAD MONROE, LA 71203(318) 343-6487

PHY FAMILY PRACTICE 46 2500 CURRENT PATIENTS AND SIBLINGS AGES 0 - 64

STERLINGTON

STERLINGTON CLINIC 115 LA HWY 2 STERLINGTON, LA 71280(318) 665-4543

RHC RURAL HEALTH CLINIC

504 3000 AGES 0 - 64

STERLINGTON HEALTH CLINIC 10374 HWY 165 N, SUITE D STERLINGTON, LA 71280(318) 812-2304

PHY CLINIC OR OTHER GROUP PRACTICE

878 3500 AGES 0 - 64

WEST MONROE

ALL KIDS R US MEDICAL CLINIC 107 CONTEMPO SUITE BWEST MONROE, LA 71291(318) 388-5030

PHY CLINIC OR OTHER GROUP PRACTICE

3204 5500 AGES 0 - 20; ACCEPTING AGES 0 - 16 ONLY

FIGUEROA GLEN 206 MCMILLAN ROAD, SUITE 1 WEST MONROE, LA 71291(318) 855-4062

PHY PHYSICAL MEDICINE REHABILITATION

249 2500 AGES 21 - 64

ROSALES CHILDRENS CLINIC 104 CONTEMPO AVENUE WEST MONROE, LA 71291(318) 807-1360

PHY CLINIC OR OTHER GROUP PRACTICE

657 3000 OPEN AGES 0 - 1M; CURRENT PTS AGES 2M - 16 YRS

SANSON FAMILY MEDICINE 2309 ARKANSAS ROAD WEST MONROE, LA 71291(318) 397-7000

PHY CLINIC OR OTHER GROUP PRACTICE

926 3500 AGES 0 - 64

RICHLAND DELHI DELHI RURAL HEALTH CLINIC 508 BROADWAY DELHI, LA 71232(318) 878-3737

RHC RURAL HEALTH CLINIC

1522 15500 AGES 0 - 64

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REGION 8

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

RICHLAND MANGHAM RALPH L ABRAHAM MD APMC 261 HIGHWAY 132 MANGHAM, LA 71259(318) 248-2807

PHY CLINIC OR OTHER GROUP PRACTICE

1354 4000 AGES 0 - 64

RONALD J MORGAN APMC 107 LELA STREET MANGHAM, LA 71259(318) 248-2165

PHY CLINIC OR OTHER GROUP PRACTICE

221 3000 AGES 0 - 64

RAYVILLE KERR ALBERT 121 CHRISTIAN DRIVE RAYVILLE, LA 71269(318) 728-0175

PHY FAMILY PRACTICE 361 2500 AGES 0 - 64

NORTHEAST LA HEALTH CENTER 1012 SOUTH LOUISA STREET RAYVILLE, LA 71269(318) 728-2046

RHC RURAL HEALTH CLINIC

913 10500 AGES 0 - 64

RAYVILLE FAMILY CLINIC 1962 JULIA STREET RAYVILLE, LA 71269(318) 728-8833

PHY CLINIC OR OTHER GROUP PRACTICE

1383 3500 AGES 0 - 64

START COMMUNITY CLINIC 5975 FEDERAL HWY 80 RAYVILLE, LA 71269(318) 728-4368

RHC RURAL HEALTH CLINIC

393 2000 AGES 0 - 64

TENSAS NEWELLTON FRANKLIN MEDICAL CENTER RHC 104 VERONA STREET NEWELLTON, LA 71357(318) 467-9949

RHC RURAL HEALTH CLINIC

495 1000 AGES 0 - 64

ST. JOSEPH FRANKLIN MEDICAL CENTER RHC ST JOSEPH

448 NEWTON STREET ST. JOSEPH, LA 71366(318) 766-8506

RHC RURAL HEALTH CLINIC

340 1000 AGES 0 - 64

TENSAS COMMUNITY HEALTH CENTER 1115 LEVEE STREET ST. JOSEPH, LA 71366(318) 766-1967

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

133 1000 AGES 0 - 64

UNION BERNICE TRI WARD CLINIC 402 SECOND STREET BERNICE, LA 71222(318) 285-9066

RHC RURAL HEALTH CLINIC

919 5500 AGES 0 - 64

FARMERVILLE

UNION GENERAL RURAL HEALTH CLINIC

1025 MARION HIGHWAY FARMERVILLE, LA 71241(318) 368-9745

RHC RURAL HEALTH CLINIC

1135 3000 AGES 0 - 64

UNKEL STEVEN 811 JAMES AVENUE FARMERVILLE, LA 71241(318) 368-2238

PHY FAMILY PRACTICE 771 2500 AGES 0 - 64

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REGION 8

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

UNION FARMERVILLE

VENTERS STEVEN 811 JAMES AVE,STE B FARMERVILLE, LA 71241(318) 368-0190

PHY INTERNAL MEDICINE 740 2500 UNION PARISH RESIDENTS ONLY AGES 0 - 20

MARION UNION CLINIC OF MARION 3150 TAYLOR STREET MARION, LA 71260(318) 292-2795

RHC RURAL HEALTH CLINIC

153 1000 AGES 0 - 64

WEST CARROLL OAK GROVE COMMUNITY MEDICAL CLINIC 712 SETTOON OAK GROVE, LA 71263(318) 428-2341

RHC RURAL HEALTH CLINIC

361 3000 AGES 0 - 64

OAK GROVE MEDICAL CLINIC 708 E. MAIN OAK GROVE, LA 71263(318) 428-3200

RHC RURAL HEALTH CLINIC

683 5500 AGES 0 - 64

WEST CARROLL MEDICAL CLINIC 502 ROSS STREET OAK GROVE, LA 71263(318) 428-2358

RHC RURAL HEALTH CLINIC

661 5500 AGES 0 - 64

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Parish Specialty Number of CommunityCARE

Providers

Maximum Capacity

Current CC Linkages Total

CALDWELL INTERNAL 1

RHC 2

TOTAL: 3 17,000 2,003

EAST CARROLL RHC 3

TOTAL: 3 15,500 2,834

FRANKLIN OTHER 3

RHC 2

FQHC 1

TOTAL: 6 18,500 4,628

JACKSON RHC 2

OTHER 3

TOTAL: 5 14,500 2,324

LINCOLN GENERAL PRACTICE

1

FAMILY PRACTICE 2

PEDIATRICS 1

OTHER 6

RHC 1

TOTAL: 11 32,600 6,319

MADISON OTHER 1

GENERAL PRACTICE

1

PEDIATRICS 1

FQHC 1

TOTAL: 4 13,000 3,066

CommunityCARE Provider Summary Count By ParishREGION 8

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Parish Specialty Number of CommunityCARE

Providers

Maximum Capacity

Current CC Linkages Total

MOREHOUSE FAMILY PRACTICE 4

OTHER 5

FQHC 1

TOTAL: 10 23,900 6,839

OUACHITA FAMILY PRACTICE 6

RHC 1

FQHC 2

OTHER 19

INTERNAL 1

TOTAL: 29 122,400 30,271

RICHLAND FAMILY PRACTICE 1

OTHER 3

RHC 3

TOTAL: 7 41,000 6,147

TENSAS FQHC 1

RHC 2

TOTAL: 3 3,000 968

UNION INTERNAL 1

RHC 3

FAMILY PRACTICE 1

TOTAL: 5 14,500 3,718

WEST CARROLL RHC 3

TOTAL: 3 14,000 1,705

REGION TOTALS 89 329,900 70,822

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REGION 9

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

LIVINGSTON ALBANY ALBANY MEDICAL CLINIC 29565 S MONTPELIER ROAD ALBANY, LA 70711(225) 209-0850

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

472 9500 AGES 0 - 64

DENHAM SPRINGS

ASBAHI M 303 VETERANS BLVD STE CDENHAM SPRINGS, LA 70726(225) 664-8010

PHY ADOLESCENT MEDICINE, PEDIATRICS

1481 2500 AGES 0 - 17

LPCP PEDIATRICS @ DENHAM SPRINGS 311 VETERANS BLVD.,SUITE B DENHAM SPRINGS, LA 70726(225) 665-4554

PHY 2452 11000 NEWBORNS, CURRENT PATIENTS & SIBLINGS AGES 0 - 64

LPCP PRIMARY CARE OF LIVE OAK 31995 LA HWY 16 DENHAM SPRINGS, LA 70726(225) 214-4200

PHY 17 5000

MASS JOSEPH 303 VETERANS BLVD STE ADENHAM SPRINGS, LA 70726(225) 665-7785

PHY FAMILY PRACTICE 43 2500 CURRENT PATIENTS AGES 4 - 64

OCHSNER CLINIC OF DENHAM SPRINGS

30819 LA HWY 16 DENHAM SPRINGS, LA 70726(225) 664-2029

PHY CLINIC OR OTHER GROUP PRACTICE

97 7500 CURRENT PATIENTS & SIBLINGS AGES 0 - 64

PEDICONS INC DBA KIDMED EAST 8369 FLORIDA BLVD. #2 DENHAM SPRINGS, LA 70726(225) 667-2777

PHY 2550 2500 AGES 0 - 20

TRIPURANENI JANNAIAH 230 VETERANS BLVD SUITE ADENHAM SPRINGS, LA 70726(225) 667-5454

PHY INTERNAL MEDICINE 920 2500 OPEN AGES 2 - 17 & 56 - 64; CURR PTS AGES 18 - 55

YOUNG-JR HENRY 1286 DEL ESTE AVENUE DENHAM SPRINGS, LA 70726(225) 667-3100

PHY FAMILY PRACTICE 244 2500 CLOSED PANEL

ZGANJAR BRIAN 1211 N RANGE STE DDENHAM SPRINGS, LA 70726(225) 665-6677

PHY PEDIATRICS 2102 2500 CURRENT PATIENTS AND SIBLINGS AGES 0 - 20

LIVINGSTON BATON ROUGE FAMILY MEDICINE CENTER

13960 FLORIDA BLVD LIVINGSTON, LA 70754(225) 686-0158

PHY CLINIC OR OTHER GROUP PRACTICE

105 3000 CURRENT PATIENTS AGES 7 - 64

STEWART FAMILY MEDICINE & AFT 14292 FLORIDA BLVD. LIVINGSTON, LA 70754(225) 686-1114

RHC 444 1000

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REGION 9

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

LIVINGSTON MAUREPAS RIVERSIDE FAMILY MEDICINE LLC 12489 HOME PORT DR STE DMAUREPAS, LA 70449(225) 698-3435

RHC RURAL HEALTH CLINIC

361 1000 AGES 0 - 64

ST. HELENA DENHAM SPRINGS

FAMILY HEALTH OF ST HELENA LLC 51991 HWY 16 DENHAM SPRINGS, LA 70706(225) 791-3092

RHC RURAL HEALTH CLINIC

1267 4500 AGES 6 MONTHS - 64 YEARS

GREENSBURG

JIMMIE W VARNADO 6214 HWY 10 GREENSBURG, LA 70441(225) 222-3206

PHY CLINIC OR OTHER GROUP PRACTICE

954 6000 AGES 0 - 64

ST. HELENA COMMUNITY HEALTH CENTER

490 SITMAN STREET GREENSBURG, LA 70441(225) 222-6059

FQHC 331 2000 AGES 0 - 64

ST. TAMMANY CONVINGTON

WHITE ELIZABETH 205 HIGHLAND PARK PLAZA CONVINGTON, LA 70433(985) 871-8681

PHY PEDIATRICS 104 2500 CURRENT PATIENTS AGES 0 - 18

COVINGTON CHILDREN'S HOSPITAL MEDICAL PRACTICE CO

728 11TH AVE. COVINGTON, LA 70433(985) 893-3395

PHY 556 10000 CURRENT PATIENTS AGES 0 - 17

CHILDREN'S MEDICAL CENTER 71107 HIGHWAY 21, STE 1 COVINGTON, LA 70433(985) 893-2580

PHY CLINIC OR OTHER GROUP PRACTICE

3932 8500 AGES 0 - 18

DR BRUCE S SAMUELS LLC 207 HIGHLAND PARK PLAZA COVINGTON, LA 70433(985) 871-8920

PHY CLINIC OR OTHER GROUP PRACTICE

1795 5000 AGES 21 - 64

LEVI TANIA 1980 N. HWY 190 COVINGTON, LA 70433(985) 809-6195

PHY INTERNAL MEDICINE 3 2500 CURRENT PATIENTS AGES 21 - 64

OCHSNER CLINIC MANDEVILLE 101 E FAIRWAY APPROACH STE 302COVINGTON, LA 70433(985) 809-5800

PHY 1099 12500 AGES 0 - 20; ACCEPTS CURRENT PTS AGES 0 - 18 ONLY

PONTCHARTRAIN PEDIATRICS LLC 4405 HWY 190 SERVICE ROAD COVINGTON, LA 70433(985) 893-8505

PHY CLINIC OR OTHER GROUP PRACTICE

6140 15000 AGES 0 - 18

PUROHIT SURENDA MD 71207 HIGHWAY 21 COVINGTON, LA 70433(985) 892-6811

PHY GENERAL SURGERY 50 2500 CURRENT PATIENTS AGES 21 - 64

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REGION 9

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

ST. TAMMANY COVINGTON ROBINSON JAMES 180 GREENBRIAR BLVD COVINGTON, LA 70433(985) 809-7171

PHY INTERNAL MEDICINE 5 2500 CURRENT PATIENTS AGES 21 - 64

ST TAMMANY PHYSICIANS NETWORK 80 GARDENIA DRIVE SUITE B COVINGTON, LA 70433(985) 871-5900

PHY 42 10000 CURRENT PATIENTS AGES 21 - 64

STARKE ULRICH 102 HIGHLAND PARK PLAZA COVINGTON, LA 70433(985) 893-6558

PHY INTERNAL MEDICINE 5 2500 CURRENT PATIENTS AGES 21 - 64

LACOMBE CHILDREN'S INTERNATIONAL 27350 HWY 190 WEST LACOMBE, LA 70445(985) 882-7077

PHY 802 3000 AGES 0 - 17

MANDEVILLE CAPONE KEITH 1200 W CAUSEWAY APPROACH STE21MANDEVILLE, LA 70471(985) 674-9331

PHY 17 2500 CLOSED PANEL

DEVOE TIN TIN 4880 HWY 22 MANDEVILLE, LA 70471(985) 845-8894

PHY PEDIATRICS 1225 2500 OPEN AGES 0 - 18; BLOCKED AGES 19 - 20

GARAUDY ANDREA 1200 W CAUSEWAY APPROACH STE21MANDEVILLE, LA 70471(985) 674-9331

PHY 20 2500 CLOSED PANEL

ST TAMMANY PHYSICIANS NETWORK 201 ST. ANN STREET SUITE B MANDEVILLE, LA 70471(985) 626-1717

PHY 773 12500 AGES 0 - 17; CURRENT PATIENTS AGES 18 - 64

YOUSEF MOHAMMED 4430 HWY 22 MANDEVILLE, LA 70471(985) 626-3470

PHY FAMILY PRACTICE 233 250 LIMITED PANEL; AGES 6 - 30; CURRENT PTS 31 - 64

SLIDELL CHILDRENS INTERNATIONAL 1430 LINDBERG DR SLIDELL, LA 70458(985) 781-7337

PHY 2955 3000 AGES 0 - 17

DECLOUET ALETA 659 BROWNSWITCH ROAD SLIDELL, LA 70458(985) 781-7577

PHY INTERNAL MEDICINE 992 2500 CURRENT PATIENTS AGES 21 - 64

DUTHU ANGELA 3020 E. GAUSE BLVD SLIDELL, LA 70461(985) 726-0800

PHY PEDIATRICS 681 2500 CURRENT PATIENTS & SIBLINGS AGES 0 - 18

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REGION 9

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

ST. TAMMANY SLIDELL HELEN E STEVENSON MD 310 B GATEWAY DRIVE SLIDELL, LA 70461(985) 645-8687

PHY CLINIC OR OTHER GROUP PRACTICE

2853 7500 AGES 0 - 20

LARCENA ALLAN 105 MEDICAL CENTER DR. STE 301SLIDELL, LA 70461(985) 646-0123

PHY INTERNAL MEDICINE 1025 2500 CURRENT PATIENTS AGES 14 - 64

OCHSNER CHILDREN'S HEALTH CENTER

2370 GAUZE BLVD. SLIDELL, LA 70461(985) 639-3755

PHY 1554 1800 LIMITED PANEL; AGES 0 - 18

RAINA SANJAY 1051 GAUSE BLVD STE 400SLIDELL, LA 70458(985) 641-6882

PHY INTERNAL MEDICINE 25 2500 CURRENT PATIENTS AGES 21 - 64

ROHEIM JOHN G M 105 MEDICAL CENTER DR,STE 202A SLIDELL, LA 70461(985) 645-8996

PHY PEDIATRICS 1816 2500 AGES 0 - 20

ROWLAND SHERYL 1400 HWY 190 W SLIDELL, LA 70460(985) 646-1226

PHY PEDIATRICS 256 2500 CURRENT PATIENTS AGES 0 - 17

ST TAMMANY COMMUNITY HEALTH CLINIC

1340 14TH STREET SLIDELL, LA 70458(985) 649-8775

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

2000 3000 AGES 0 - 20

TANGIPAHOA AMITE AMITE RURAL HEALTH CLINIC 309 WEST WALNUT STREET AMITE, LA 70422(985) 748-7141

RHC RURAL HEALTH CLINIC

975 1000 AGES 13 MONTHS - 64 YEARS

BIGGS MAUREEN 309 WEST WALNUT ST., SUITE A AMITE, LA 70422(985) 748-9812

NP FAMILY PRACTICE 286 1000 CLOSED PANEL

CEFALU JR. NICHOLAS M 112 EAST CHESTNUT ST. AMITE, LA 70422(985) 748-3272

PHY FAMILY PRACTICE 290 2500 AGES 21 - 64

GOLDSBY REGINALD 309 WALNUT ST STE FAMITE, LA 70422(985) 247-2700

PHY FAMILY PRACTICE 12 2500

MAUTERER ARTHUR MD 309 WALNUT ST STE BAMITE, LA 70422(985) 748-5004

PHY INTERNAL MEDICINE 129 2500 CURRENT PATIENTS AND FAMILY MEMBERS AGES 14 - 64

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REGION 9

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

TANGIPAHOA AMITE RAY DERRIS 309 WALNUT ST SUITE D AMITE, LA 70422(985) 748-5158

PHY FAMILY PRACTICE 432 2500 CURRENT PATIENTS AGES 13 MONTHS - 64 YEARS

SHAHID MUHAMMAD 409 N.W. CENTRAL AVE, SUITE B AMITE, LA 70422(985) 747-0444

PHY INTERNAL MEDICINE 430 2500 CLOSED PANEL

HAMMOND CHILDREN FIRST KIDMED 1828 W THOMAS ST HAMMOND, LA 70401(985) 419-2250

RHC RURAL HEALTH CLINIC

628 2000 AGES 0 - 20

CHILDREN'S INTERNATIONAL 42124 VETERANS AVE., SUITE A HAMMOND, LA 70403(985) 543-0565

PHY 1754 3000 AGES 0 - 17

LOBUE ANGELO 15800 PROFESSIONAL PLAZA HAMMOND, LA 70403(985) 345-2180

PHY PEDIATRICS 807 2500 AGES 0 - 12

MURRAY-JR WINSTON 109 WEST MINNESOTA PARK HAMMOND, LA 70403(985) 542-5800

PHY INTERNAL MEDICINE 1388 2500 AGES 0 - 64

NORTH OAKS PEDIATRIC CLINIC 15756 MEDICAL ARTS PLAZA HAMMOND, LA 70403(985) 318-6599

PHY 2530 7000 AGES 0 - 21

NORTH OAKS PEDIATRIC KIDMED CLINIC

15695 PROFESSIONAL PLAZA HAMMOND, LA 70403(985) 542-2599

PHY 8061 12000 AGES 0 - 20

NORTH OAKS PEDIATRIC KIDMED CLINIC

15760 MEDICAL ARTS PLAZA HAMMOND, LA 70403(985) 542-8599

PHY 2990 9000 AGES 0 - 20

NORTH OAKS SPECIALITY CLINIC 1902 S MORRISON BLVD HAMMOND, LA 70403(985) 230-5800

PHY 381 10500 CURRENT PATIENTS & FUTURE SIBLINGS AGES 1 - 64

OVERTON JOHN 16031 DEBLIN SQ., HWY 51 SOUTH HAMMOND, LA 70403(985) 386-9911

PHY PEDIATRICS 711 2500 AGES 0 - 20

INDEPENDENCE

GENOVESE-JR CHARLES 312 E RAILROAD AVE INDEPENDENCE, LA 70443(985) 878-4183

PHY INTERNAL MEDICINE 674 2500 AGES 21 - 64

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REGION 9

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

TANGIPAHOA INDEPENDENCE

LALLIE KEMP HOSPITAL CLINICS 52579 HIGHWAY 51 SOUTH INDEPENDENCE, LA 70443(985) 878-1500

PHY CLINIC OR OTHER GROUP PRACTICE

2078 19500 AGES 2 MONTHS - 64 YEARS

MULTIPRACTICE CLINIC 281 W. 4TH STREET INDEPENDENCE, LA 70443(985) 878-0066

FQHC FEDERALLY QUALIFIED HEALTH CENTERS

1990 4000 AGES 0 - 64

NORTH OAKS SPECIALITY CLINIC 230 MASONIC DRIVE INDEPENDENCE, LA 70443(985) 878-4174

PHY 9 2500

KENTWOOD ST. HELENA COMMUNITY HEALTH CENTER

721 AVE G KENTWOOD, LA 70444(985) 229-5501

FQHC 541 11500 AGES 6 MONTHS- 64 YEARS

PONCHATOULA

ALLENS FAMILY PRACTICE CLINIC 105 EAST OAK STREET PONCHATOULA, LA 70454(985) 386-6198

PHY CLINIC OR OTHER GROUP PRACTICE

294 5000 CURRENT PATIENTS AGES 0 - 64

WASHINGTON BOGALUSA CAILLOUET G 1616 S. COLUMBIA ST., SUITE C BOGALUSA, LA 70429(985) 735-7335

PHY GENERAL PRACTICE 8 10 CURRENT PATIENTS AGES 21 - 64

CASAMA ROGELIO 2807 S COLUMBIA STREET BOGALUSA, LA 70429(985) 735-8382

PHY INTERNAL MEDICINE 427 2500 AGES 21 - 64

FEINBERG JILL 1415 AVENUE F BOGALUSA, LA 70427(985) 735-1198

PHY FAMILY PRACTICE 455 2500 AGES 0 - 64

LSU WASHINGTON-ST TAMMAN 712 WILLIS AVE SUITE 4BOGALUSA, LA 70427(985) 730-2061

PHY 1213 5000 AGES 0 - 20

LSU WASHINGTON-ST TAMMAN 420 AVENUE F BOGALUSA, LA 70427(985) 732-0058

PHY 289 10000 AGES 0 - 64

LSU-WASHINGTON ST TAMMAN 400 MEMPHIS STREET BOGALUSA, LA 70427(985) 730-7193

PHY 370 8500 AGES 21 - 64

TABARI HOSSEIN 1616 S COLUMBIA ST,STE E BOGALUSA, LA 70427(985) 735-7810

PHY NEPHROLOGY 82 2500 CURRENT PATIENTS AGES 21 - 64

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REGION 9

Parish City Provider Name Address Provider Type

Specialty Current CC Linkage

Potential Capacity

Restrictions

WASHINGTON BOGALUSA THE PEDIATRIC CLINIC 405 AVENUE F BOGALUSA, LA 70429(985) 732-1568

PHY CLINIC OR OTHER GROUP PRACTICE

2398 2500 AGES 0 - 64

THERIAULT VICTOR 712 WILLIS AVENUE BOGALUSA, LA 70427(985) 732-4853

PHY FAMILY PRACTICE 13 2500 CURRENT PATIENTS AGES 21 - 64

YERNENI PURNACHANDR 1011 AVENUE F BOGALUSA, LA 70427(985) 732-9940

PHY INTERNAL MEDICINE 411 2500 AGES 6 - 64

FRANKLINTON

ALVARADO LUIS 21012 HWY 16 FRANKLINTON, LA 70438(985) 795-0500

PHY INTERNAL MEDICINE 44 500 CURRENT PATIENTS AGES 21 - 64

CHILDREN'S IN TERNATIONAL 2208 WASHINGTON STREET FRANKLINTON, LA 70438(985) 795-2228

PHY 3 3500

FRANKLINTON RURAL HEALTH CLINIC 2004 J MARVIN MAGEE DRIVE FRANKLINTON, LA 70438(985) 839-3555

RHC RURAL HEALTH CLINIC

1064 2500 AGES 0 - 64

LSU WASHINGTON-ST TAMMAN 51704 HWY 438 FRANKLINTON, LA 70438(985) 848-9955

PHY 662 3000 AGES 0 - 64

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Parish Specialty Number of CommunityCARE

Providers

Maximum Capacity

Current CC Linkages Total

LIVINGSTON OTHER 6

INTERNAL 1

FQHC 1

RHC 1

FAMILY PRACTICE 2

PEDIATRICS 2

TOTAL: 13 53,000 11,288

ST. HELENA OTHER 2

RHC 1

TOTAL: 3 12,500 2,552

ST. TAMMANY OTHER 14

INTERNAL 6

FAMILY PRACTICE 1

PEDIATRICS 5

FQHC 1

TOTAL: 27 127,050 30,958

TANGIPAHOA OTHER 9

FQHC 1

RHC 2

FAMILY PRACTICE 4

PEDIATRICS 2

INTERNAL 4

TOTAL: 22 110,500 27,390

WASHINGTON OTHER 7

CommunityCARE Provider Summary Count By ParishREGION 9

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Parish Specialty Number of CommunityCARE

Providers

Maximum Capacity

Current CC Linkages Total

WASHINGTON GENERAL PRACTICE

1

RHC 1

INTERNAL 3

FAMILY PRACTICE 2

TOTAL: 14 48,010 7,439

REGION TOTALS 79 351,060 79,627

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CommunityCARE Provider and Physician Totals for the State of Louisiana

Provider Type Total CommunityCARE Providers

Total Maximum Capacity Current CC Linkages Total

State of Louisiana

FAMILY PRACTICE 115

FQHC 45

GENERAL PRACTICE 33

INTERNAL 76

OB/GYN 4

OTHER 384

PEDIATRICS 76

RHC 96

Total 829 3,274,775 765,381

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KIDMED Providers by Parish

Region Parish City Name Provider Type Restriction Notes

REGION 1 EAST JEFFERSON HARVEY WEST JEFFERSON SBHC SBHC

METAIRIE JEFFERSON PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

JEFFERSON JEFFERSON RIVERDALE HIGH SBHC SBHC

KENNER BONNABEL SBHC SBHC

MARRERO EHRET HIGH SBHC SBHC

JEFFERSON PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

WESTWEGO BUTLER SBHC SBHC

ORLEANS NEW ORLEANS ALGIERS TECHNOLOGY ACADE KIDMED SCREENING CLINIC

ALICE M. HART E CHARTER SCHOOL KIDMED SCREENING CLINIC

DWIGHT D. EISENHOWER ACA KIDMED SCREENING CLINIC

EDNA KARR CHARTER HIGH SCHOOL KIDMED SCREENING CLINIC

ELEANOR MCMAIN SECONDARY SBHC SBHC

HARRIET ROSS TUBMAN CHARTER KIDMED SCREENING CLINIC

MARTIN BEHRMAN CHARTER A KIDMED SCREENING CLINIC

MCDONOUGH #32 LITERACY C KIDMED SCREENING CLINIC

MCLNO O PERRY WALKER SBH SBHC

NEW ORLEANS C HARTER SCIE SBHC

O. PERRY WALKER COLLEGE KIDMED SCREENING CLINIC

ORLEANS PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

RECOVERY SCHOOL DISTRICT KIDMED SCREENING CLINIC

TUHC DOWNTOWN PEDIATRIC PHY

WILLIAM J. FISHER ACCELE KIDMED SCREENING CLINIC

PLAQUEMINES BELLE CHASSE PLAQUEMINES PARISH SCH B KIDMED SCREENING CLINIC

ST. BERNARD CHALMETTE CHALMETTE HIGH SCHOOL SB SBHC

REGION 2 ASCENSION DONALDSONVILLE ASCENSION HEALTH UNIT-DO KIDMED SCREENING CLINIC

ASCENSION PARISH SCHOOL KIDMED SCREENING CLINIC

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Region Parish City Name Provider Type Restriction Notes

REGION 2 ASCENSION GONZALES ASCENSION PARISH GOVERNE KIDMED SCREENING CLINIC

EAST BATON ROUGE BATON ROUGE ADVANCED COMP . TEST-B.R. PHY

BROADMOOR HIGH SBHC SBHC

CENTRAL COMMUNITY SCHOOL DISTICT KIDMED SCREENING CLINIC

EAST BATON ROUGE HEALTH KIDMED SCREENING CLINIC

EAST BATON ROUGE PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

GLASCOW MIDDLE SBHC SBHC

HCCS CAPITOL HIGH SBHC SBHC

HCCS GLEN OAKS HIGH SBHC SBHC

HCCS GLEN OAKS MIDDLE SB SBHC

HCCS ISTROUMA HIGH SBHC SBHC

HCCS PRESCOTT MIDDLE SBH SBHC

HCCS WESTDALE MIDDLE SBH SBHC

PRIDE HCCS NORTHEAST ELEM SBHC SBHC

HCCS NORTHEAST HIGH SBHC SBHC

ZACHARY MEDAMERICA -EISWORTH KIDMED SCREENING CLINIC

ZACHARY COMMUNITY SCHOOLS KIDMED SCREENING CLINIC

EAST FELICIANA CLINTON EAST FELICIAN A HEALTH UN KIDMED SCREENING CLINIC

IBERVILLE PLAQUEMINE IBERVILLE HEALTH UNIT-PL KIDMED SCREENING CLINIC

IBERVILLE PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

ST GABRIEL EAST IBERVILL E ELEM/HIGH FQHC

POINTE COUPEE MORGANZA POINTE COUPEE CENTRAL HI FQHC AGES 4 - 20

NEW ROADS POINTE COUPEE HEALTH UNI KIDMED SCREENING CLINIC

POINTE COUPEE SCHOOL BOARD KIDMED SCREENING CLINIC

WEST BATON ROUGE PORT ALLEN W. BATON ROUGE PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

WEST BATON ROUGE HEALTH KIDMED SCREENING CLINIC

WEST FELICIANA ST FRANCISVILLE FAMILY SERVICE CENTER SBHC

ST. FRANCISVILLE WEST FELICIAN A HEALTH UN KIDMED SCREENING CLINIC

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Region Parish City Name Provider Type Restriction Notes

REGION 2 WEST FELICIANA ST.FRANCISVILLE WEST FELICIANA PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

REGION 3 ASSUMPTION NAPOLEONVILLE ASSUMPTION HEALTH UNIT KIDMED SCREENING CLINIC

ASSUMPTION PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

LAFOURCHE GALLIANO LAFOURCHE HEALTH UNIT-GA KIDMED SCREENING CLINIC

THIBODAUX LAFOURCHE HEALTH UNIT-TH KIDMED SCREENING CLINIC

LAFOURCHE PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

ST. CHARLES LULING ST. CHARLES PARISH PUBLIC SCHOOL KIDMED SCREENING CLINIC

ST. JAMES GRAMERCY ST ELIZABETH PHYSICIANS PHY CURRENT PATIENTS AGES 0 - 14

LUTCHER ST. JAMES HEALTH UNIT KIDMED SCREENING CLINIC

ST. JOHN RESERVE ST. JOHN BPT PARISH SCHOOL KIDMED SCREENING CLINIC

ST. JOHN HEALTH UNIT-RES KIDMED SCREENING CLINIC

ST. MARY CENTERVILLE ST MARY PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

MORGAN CITY ST. MARY HEALTH UNIT- MO KIDMED SCREENING CLINIC

TERREBONNE HOUMA CLOUTIER ARNOLD L O. DISTRICT OPTOMETRIST AND OPTOMETRIST GROUP

TERREBONNE HEALTH UNIT KIDMED SCREENING CLINIC

TERREBONNE PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

REGION 4 ACADIA CHURCH POINT ACADIA-ST. LANDRY HOSPIT KIDMED SCREENING CLINIC

CROWLEY ACADIA PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

RAYNE ACADIA PAR POL JURY COMM KIDMED SCREENING CLINIC

EVANGELINE VILLE PLATTE EVANGELINE PARISH SCHOOL KIDMED SCREENING CLINIC

IBERIA NEW IBERIA IBERIA SCH BRD - ALL SITES KIDMED SCREENING CLINIC

LAFAYETTE LAFAYETTE CHILDREN HLTH CRE CL-ACA PHY

LAFAYETTE PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

NORTHSIDE HIGH SBHC SBHC

UNIVERSITY MEDICAL CENTE KIDMED SCREENING CLINIC

ST. LANDRY OPELOUSAS CHILDREN'S KIDMED CLINIC KIDMED SCREENING CLINIC

ST LANDRY PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

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REGION 4 ST. LANDRY SUNSET ST LANDRY PARISH POLICE KIDMED SCREENING CLINIC

ST LANDRY SB-SUNSET ELEM KIDMED SCREENING CLINIC

ST. MARTIN BREAUX BRIDGE BREAUX BRIDGE SBHC SBHC

ST MARTIN PARISH GOVERME KIDMED SCREENING CLINIC

ST MARTIN PARISH GOVERNM KIDMED SCREENING CLINIC

CECILIA CECILIA SBHC SBHC

ST MARTINVILLE ST MARTINVILLE SBHC SBHC

ST. MARTINVILLE ST. MARTIN PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

VERMILION ABBEVILLE VERMILION PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

REGION 5 ALLEN OAKDALE ALLEN HEALTH UNIT-OAKDAL KIDMED SCREENING CLINIC

OAKDALE SBHC SBHC

OBERLIN ALLEN PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

BEAUREGARD DERIDDER BEAUREGARD HEALTH UNIT KIDMED SCREENING CLINIC

BEAUREGARD PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

CALCASIEU LAKE CHARLES CALCASIEU HEALTH UNIT-LA KIDMED SCREENING CLINIC

CALCASIEU PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

CHRISTUS ST PATRICK HOSP PHY

CHRISTUS ST PATRICK HOSP PHY

CLIFTON ELEMENTARY SBHC SBHC

COMBRE FONDEL ELEM SBHC SBHC

M & M FAMILY CLINIC INC KIDMED SCREENING CLINIC

MOLO MIDDLE SBHC SBHC

WASHINGTON-MARION SBHC SBHC

SULPHUR CALCASIEU HEALTH UNIT-SU KIDMED SCREENING CLINIC

CAMERON CAMERON CAMERON HEALTH UNIT KIDMED SCREENING CLINIC

HACKBERRY CAMERON HEALTH UNIT-HACK KIDMED SCREENING CLINIC

LAKE CHARLES CAMERON PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

JEFFERSON DAVIS JENNINGS JEFF DAVIS HEALTH UNIT KIDMED SCREENING CLINIC

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REGION 5 JEFFERSON DAVIS JENNINGS JEFF DAVIS PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

REGION 6 AVOYELLES MANSURA AVOYELLES CHARTER SBHC SBHC

AVOYELLES SBHC SBHC

MARKSVILLE AVOYELLES PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

CATAHOULA JONESVILLE CATAHOULA PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

CONCORDIA VIDALIA CONCORDIA PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

GRANT COLFAX GRANT PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

DRY PRONG GRANT SBHC SBHC

POLLOCK POLLOCK SBHC SBHC

LA SALLE JENA JENA HIGH SBHC SBHC

JENA JR HIGH SBHC SBHC

LASALLE PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

RAPIDES ALEXANDRIA HUEY P. LONG KIDMEDICAL KIDMED SCREENING CLINIC

RAPIDES PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

DEVILLE BUCKEYE SBHC SBHC

GLENMORA GLENMORA SBHC SBHC

LENA NORTHWOOD SBHC SBHC

PINEVILLE LESSIE MOORE SBHC SBHC

PINEVILLE JR HIGH SBHC SBHC

TIOGA HIGH SBHC SBHC

TIOGA JR HIGH SBHC SBHC

WINN WINNFIELD WINN PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

REGION 7 BIENVILLE ARCADIA BIENVILLE HEALTH UNIT-AR KIDMED SCREENING CLINIC

BIENVILLE PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

BOSSIER BOSSIER CITY BOSSIER HEALTH UNIT - BO KIDMED SCREENING CLINIC

BOSSIER PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

CADDO SHREVEPORT ATKINS SBHC SBHC

CADDO HEALTH UNIT-S'PORT KIDMED SCREENING CLINIC

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REGION 7 CADDO SHREVEPORT CADDO PAR SCHL BRD-ALL SITES KIDMED SCREENING CLINIC

LINWOOD SBHC SBHC

WOODLAWN SBHC SBHC

CLAIBORNE HOMER CLAIBORNE HEALTH UNIT KIDMED SCREENING CLINIC

DE SOTO MANSFIELD DESOTO SCHOOL BOARD-MANSFIELD KIDMED SCREENING CLINIC

NATCHITOCHES CAMPTI NATCHITOCHES S.B.-LAKEVI KIDMED SCREENING CLINIC

NATCHITOCHES SBHC SBHC

CLOUTIERVILLE CLOUTIERVILLE SBHC SBHC

NATCHITOCHES S.B.-CLOUTI KIDMED SCREENING CLINIC

COUSHATTA NATCHITOCHES S.B.-FAIRVI KIDMED SCREENING CLINIC

GOLDONNA NATCHITOCHES S.B.-GOLDON KIDMED SCREENING CLINIC

MARTHAVILLE MARTHAVILLE SBHC SBHC

NATCHITOCHES S.B.-MARTHA KIDMED SCREENING CLINIC

NATCHITOCHES NATCHITOCHES CENTRAL SBH SBHC

NATCHITOCHES HEALTH UNIT KIDMED SCREENING CLINIC

NATCHITOCHES S.B.-E. NAT KIDMED SCREENING CLINIC

NATCHITOCHES S.B.-LAKEVIEW HIGH KIDMED SCREENING CLINIC

NATCHITOCHES S.B.-N. NAT KIDMED SCREENING CLINIC

NATCHITOCHES S.B.-NAT. C KIDMED SCREENING CLINIC

NATCHITOCHES S.B.-NAT. J KIDMED SCREENING CLINIC

NATCHITOCHES S.B.-NAT. N KIDMED SCREENING CLINIC

NATCHITOCHES S.B.-NSU EL KIDMED SCREENING CLINIC

NATCHITOCHES S.B.-NSU MI KIDMED SCREENING CLINIC

NATCHITOCHES S.B.-PARKS KIDMED SCREENING CLINIC

NATCHITOCHES S.B.-WEAVER KIDMED SCREENING CLINIC

PROVENCAL NATCHITOCHES S.B.-PROVEN KIDMED SCREENING CLINIC

RED RIVER COUSHATTA COUSHATTA KIDMED LLC KIDMED SCREENING CLINIC

RED RIVER HEALTH UNIT KIDMED SCREENING CLINIC

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REGION 7 SABINE MANY DESOTO HEALTH UNIT KIDMED SCREENING CLINIC

SABINE HEALTH UNIT KIDMED SCREENING CLINIC

SABINE PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

WEBSTER MINDEN WEBSTER HEALTH UNIT-MIND KIDMED SCREENING CLINIC

SPRINGHILL WEBSTER HEALTH UNIT-SPRI KIDMED SCREENING CLINIC

REGION 8 CALDWELL COLUMBIA CALDWELL HEALTH UNIT KIDMED SCREENING CLINIC

CALDWELL PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

COUGHRAN MEDI CAL CORPORA PHY

EAST CARROLL LAKE PROVIDENCE EAST CARROLL HEALTH UNIT KIDMED SCREENING CLINIC

EAST CARROLL PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

FRANKLIN WINNSBORO FRANKLIN HEALTH UNIT KIDMED SCREENING CLINIC

FRANKLIN PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

JACKSON JONESBORO JACKSON HEALTH UNIT KIDMED SCREENING CLINIC

JACKSON PARISH HOSPITAL SBHC

JACKSON PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

LINCOLN RUSTON LINCOLN HEALTH UNIT KIDMED SCREENING CLINIC

LINCOLN PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

MADISON TALLULAH MADISON HEALTH UNIT KIDMED SCREENING CLINIC

MADISON PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

MADISON SENIOR HIGH SBHC SBHC

MOREHOUSE BASTROP MOREHOUSE HEALTH UNIT KIDMED SCREENING CLINIC

MOREHOUSE JR HIGH SCHOOL FQHC

MOREHOUSE PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

OUACHITA MONROE MONROE CITY SCHOOL SYSTEM KIDMED SCREENING CLINIC

NORTHEAST RURAL HEALTH C PHY

OUACHITA HEALTH UNIT KIDMED SCREENING CLINIC

ST FRANCIS SBHC SBHC

WEST MONROE OUACHITA PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

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REGION 8 OUACHITA WEST MONROE RISER SBHC SBHC

WEST MONROE SBHC SBHC

RICHLAND DELHI RICHLAND PARISH HOSPITAL SBHC

RAYVILLE RICHARDSON MEDICAL CENTE SBHC

RICHLAND HEALTH UNIT KIDMED SCREENING CLINIC

RICHLAND PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

TENSAS ST. JOSEPH TENSAS HEALTH UNIT-ST. J KIDMED SCREENING CLINIC

ST.JOSEPH TENSAS PARISH SCHOOL SYSTEM KIDMED SCREENING CLINIC

UNION FARMERVILLE UNION HEALTH UNIT KIDMED SCREENING CLINIC

UNION PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

WEST CARROLL OAK GROVE WEST CARROLL HEALTH UNIT KIDMED SCREENING CLINIC

WEST CARROLL PARISH SCHOOLS KIDMED SCREENING CLINIC

REGION 9 LIVINGSTON LIVINGSTGON LIVINGSTON PARISH SCHOOL BRD KIDMED SCREENING CLINIC

LIVINGSTON LIVINGSTON HEALTH UNIT-L KIDMED SCREENING CLINIC

ST. HELENA GREENSBURG ST. HELENA COMMUNITY HLT FQHC AGES 9 - 15

ST. HELENA COMMUNITY HLT FQHC

ST. HELENA COMMUNITY HLT FQHC

ST. TAMMANY COVINGTON COMMUNITY WELLNESS CENTE KIDMED SCREENING CLINIC

TANGIPAHOA AMITE TANGIPAHOA HEALTH UNIT-A KIDMED SCREENING CLINIC

TANGIPAHOA PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

HAMMOND TANGIPAHOA HEALTH UNIT-H KIDMED SCREENING CLINIC

WASHINGTON BOGALUSA BOGALUSA CITY SCHOOL SYSTEM KIDMED SCREENING CLINIC

BOGALUSA HIGH SBHC SBHC

BOGALUSA JR HIGH SBHC SBHC

LSU WASHINGTON ST-TAMMAN PHY

LSU WASHINGTON-ST TAMMAN PHY

FRANKLINTON WASHINGTON PARISH SCHOOL BOARD KIDMED SCREENING CLINIC

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