| Clhg-leesville | |
|
18570 Johnny B. Hall Memorial Hwy U.s. Route 171 Rosepine LA 70659 | |
| (337) 462-1913 | |
| (337) 462-1898 |
| Full Name | Clhg-leesville |
|---|---|
| Speciality | Clinic/Center |
| Location | 18570 Johnny B. Hall Memorial Hwy, Rosepine, Louisiana |
| Authorized Official Name and Position | Donald E. Cameron (BOARD MEMBER) |
| Authorized Official Contact | 3182268202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clhg-leesville 1020 W Fertitta Blvd Leesville LA 71446-4645 Ph: (337) 239-5274 | Clhg-leesville 18570 Johnny B. Hall Memorial Hwy U.s. Route 171 Rosepine LA 70659 Ph: (337) 462-1913 |
| NPI Number | 1982164224 |
|---|---|
| Provider Enumeration Date | 03/22/2019 |
| Last Update Date | 03/16/2023 |
| Medicare PECOS PAC ID | 4082963301 |
|---|---|
| Medicare Enrollment ID | O20190520001228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982164224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |