LOUISIANA FAMILY MEDICINE CLINIC, INC.; NPI #1083094007

Contact Information

LOUISIANA FAMILY MEDICINE CLINIC, INC.

103 WATTS ST
JONESBORO, LA 71251-2053

Phone: 318-259-1569
Fax: 318-259-8523
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Non-Pharmacy Dispensing Site	332900000X	87	All Other Suppliers

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NPI Profile & details for LOUISIANA FAMILY MEDICINE CLINIC, INC.

NPI #	`1083094007`
LBN Legal business name	LOUISIANA FAMILY MEDICINE CLINIC, INC.
Authorized official	DIRK RAINWATER - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/04/2015
Last updated	06/04/2015 - About 11 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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LOUISIANA FAMILY MEDICINE CLINIC, INC.

Contact Information

Specialty

Non-Pharmacy Dispensing Site

NPI Profile & details for LOUISIANA FAMILY MEDICINE CLINIC, INC.

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