OrganizationActive
Primetime Chronic Care Management, LLC
NPI 1821535360 · Prevention Professional · Madisonville, LA
Provider details
- NPI number
- 1821535360
- Entity type
- Organization
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Organization subpart
- No
- Authorized official
- Atnena Luster, Managing Provider(901) 288-5200
Specialties & taxonomies
Other Service Providers
Practice location
117 Autumn Creek Dr
Madisonville, LA 70447-3603
Phone: (901) 626-2129
Approximate (ZIP-level) locationGet directions
Mailing address
33 Church Street
Greensburg, LA 70441
Registry dates
- Enumerated
- 2017-01-23
- Last updated
- 2017-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.