Organization · Type 2 NPI
Dry Prong Family Clinic, LLC
Rural Health Clinic/Center · Dry Prong, LA
NPI number
1366928277
Active
Practice location
800 Grove Street
Dry Prong, LA 71423
Fax (318) 568-8297
Mailing address
PO Box 37
Montgomery, LA 71454-0037
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | None listed |
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
Rural Health Clinic/Center: Definition to come...
About NPI 1366928277
Dry Prong Family Clinic, LLC's National Provider Identifier is 1366928277, issued on Jul 13, 2018. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Dry Prong, LA. The record was last updated on Jun 2, 2020.