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NPI Code Detail

MEDICARE: CENLA RURAL HEALTH CENTERS LLC

MEDICARE: CENLA RURAL HEALTH CENTERS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1173000000XLegal Medicine022337LALA

General Provider Information

NPI Number : 1750573796
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENLA RURAL HEALTH CENTERS LLC
Provider Business Mailing Address
First Line : PO BOX 148
Second Line :
City : COLFAX
State : LA
Zip : 71417-0148
Country : US
Telephone Number : 318-627-3700
Fax Number : 318-627-3545
Provider Business Practice Location Address
First Line : 340 WEBB SMITH DR
Second Line :
City : COLFAX
State : LA
Zip : 71417-1910
Country : US
Telephone Number : 318-627-3700
Fax Number : 318-627-3545
Authorized Official
Title or Position : OFFICE MANGER
Name : MS. SHEILA JAMIE THOMPSON
Credential :
Telephone Number : 318-627-3700
Provider Enumeration Date : 08/14/2007
Last Update Date : 08/14/2007

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Directions to “CENLA RURAL HEALTH CENTERS LLC ” Practice Location

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