DRY PRONG FAMILY CLINIC, LLC; NPI #1366928277

Contact Information

DRY PRONG FAMILY CLINIC, LLC

800 GROVE STREET
DRY PRONG, LA 71423

Phone: 318-568-8298
Fax: 318-568-8297
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Rural Health	261QR1300X	B4[14]	Rural Health Clinic
Clinic/Center	261Q00000X

Indicates primary specialty

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NPI Profile & details for DRY PRONG FAMILY CLINIC, LLC

NPI #	`1366928277`
LBN Legal business name	DRY PRONG FAMILY CLINIC, LLC
Authorized official	BENJAMIN COLVIN - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/13/2018
Last updated	06/02/2020 - About 6 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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