institution
Green Clinic Surgical Center
Ambulatory Surgical Clinic/Center in Ruston, Louisiana
NPI 1861581092

Green Clinic Surgical Center is an Ambulatory Surgical Clinic/Center based in Ruston, LA and is specialized in Ambulatory Surgical. Green Clinic Surgical Center practices in Ruston, LA. The NPI Number for Green Clinic Surgical Center is 1861581092 and holds a License No. 87 (Louisiana).

The current practice location address for Green Clinic Surgical Center is 1200 S Farmerville St, Ruston, LA and can be reached out via phone at 318-232-7148 and via fax at 318-232-1092. You can also correspond with Green Clinic Surgical Center through the mailing address at PO BOX 1586, RUSTON, LA - 71273-1586 (mailing address contact number: 318-232-7148).

Location: 1200 S Farmerville St, Ruston, LA, 71273-1586
institution
Provider Profile Details
NPI Number
1861581092
Provider Name
Green Clinic Surgical Center
Credential
Provider Entity Type
Organization
Address
1200 S Farmerville St, Ruston, LA, 71273-1586
Phone Number
318-232-7148
Fax Number
318-232-1092
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
20063 01 LA BCBS PROVIDER NO.
1563951 05 LA
institution
Provider Business Practice Location Address Details
Address
1200 S Farmerville St
City
State
Zip
71270-5941
Phone Number
318-232-7148
Fax Number
318-232-1092
person
Provider Business Mailing Address Details
Address
1200 S Farmerville St
City
State
Zip
71270-5941
Phone Number
318-232-7148
Fax Number
318-232-1092
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
87 (Louisiana)
Definition
Definition to come...
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