| Clhg-oakdale, Llc | |
|
504 West Main Oakdale LA 70638-0001 | |
| (318) 634-5475 | |
| (318) 634-5161 |
| Full Name | Clhg-oakdale, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 504 West Main, Oakdale, Louisiana |
| Authorized Official Name and Position | Suzette Fatula (ASST. CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3182153223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clhg-oakdale, Llc Po Box 629 Oakdale LA 71463-0629 Ph: (318) 335-3700 | Clhg-oakdale, Llc 504 West Main Oakdale LA 70638-0001 Ph: (318) 634-5475 |
| NPI Number | 1205930450 |
|---|---|
| Provider Enumeration Date | 09/09/2006 |
| Last Update Date | 05/12/2020 |
| Medicare PECOS PAC ID | 1355623943 |
|---|---|
| Medicare Enrollment ID | O20170112002739 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205930450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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