CLHG-LEESVILLE NPI 1982164224

NPI Information

CLHG-LEESVILLE is a rural health clinic center in Rosepine, LA. CLHG-LEESVILLE NPI is 1982164224. The provider is registered as an organization entity type.
The provider Is Doing Business As West Louisiana Family Practice-rosepine.

The provider's business location address is:

18570 JOHNNY B. HALL MEMORIAL HWY
U.S. ROUTE 171
ROSEPINE, LA
ZIP 70659
Phone: (337) 462-1913
Fax: (337) 462-1898

The provider's authorized official is Donald E. Cameron .
The authorized official title is Board Member and has the following contact phone number (318) 226-8202.

The CLIA number assigned to this NPI record is 19D1046954 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2019 and was last updated on 3/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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