| Clhg-oakdale, Llc | |
|
1884 Highway 165 S Oakdale LA 71463-3500 | |
| (318) 335-3501 | |
| Not Available |
| Full Name | Clhg-oakdale, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1884 Highway 165 S, Oakdale, Louisiana |
| Authorized Official Name and Position | Suzette Fatula (CFO) |
| 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 130 Hospital Dr Oakdale LA 71463-3035 Ph: (318) 215-3431 | Clhg-oakdale, Llc 1884 Highway 165 S Oakdale LA 71463-3500 Ph: (318) 335-3501 |
| NPI Number | 1730628975 |
|---|---|
| Provider Enumeration Date | 02/21/2017 |
| Last Update Date | 07/25/2024 |
| Medicare PECOS PAC ID | 1355623943 |
|---|---|
| Medicare Enrollment ID | O20180306000614 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730628975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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