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Pine Prairie Community Clinic Llc
Rural Health Clinic/Center in Pine Prairie, Louisiana
NPI 1174036388

Pine Prairie Community Clinic Llc is a Rural Health Clinic/Center based in Pine Prairie, LA and is specialized in Rural Health. Pine Prairie Community Clinic Llc practices in Pine Prairie, LA. The NPI Number for Pine Prairie Community Clinic Llc is 1174036388 and holds a License No. (Louisiana).

The current practice location address for Pine Prairie Community Clinic Llc is 1121 Walnut Street, Pine Prairie, LA and can be reached out via phone at 337-599-2800 and via fax at 337-599-2210.

Location: 1121 Walnut Street, Pine Prairie, LA, 70576-0542
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174036388
Provider Name
Pine Prairie Community Clinic Llc
Credential
Provider Entity Type
Organization
Address
1121 Walnut Street, Pine Prairie, LA, 70576-0542
Phone Number
337-599-2800
Fax Number
337-599-2210
Provider Enumeration Date
11/09/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1121 Walnut Street
City
Pine Prairie
State
Louisiana
Zip
70576
Phone Number
337-599-2800
Fax Number
337-599-2210
person
Provider Business Mailing Address Details
Address
1121 Walnut Street
City
Pine Prairie
State
Louisiana
Zip
70576
Phone Number
337-599-2800
Fax Number
337-599-2210
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
2203783773 (Louisiana)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
(Louisiana)
Definition
Definition to come...
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