Healthcare Provider Details

I. General information

NPI: 1639618853
Provider Name (Legal Business Name): CLHG-AVOYELLES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2017
Last Update Date: 06/02/2020
Certification Date: 06/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4231 HIGHWAY 1192
MARKSVILLE LA
71351-4711
US

IV. Provider business mailing address

PO BOX 249
MARKSVILLE LA
71351-0249
US

V. Phone/Fax

Practice location:
  • Phone: 318-240-6000
  • Fax:
Mailing address:
  • Phone: 318-253-8611
  • Fax: 318-240-6077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: TIMOTHEY CURRY
Title or Position: CEO
Credential:
Phone: 318-240-6035