Organization · Type 2 NPI

Clhg-Leesville

Rural Health Clinic/Center · Deridder, LA

NPI number 1831659333 Active

Practice location

412 S Pine St
Deridder, LA 70634-4840

Call (337) 462-5700 Map

Fax (337) 462-6856

Mailing address

1020 W Fertitta Blvd
Leesville, LA 71446-4645

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

Another provider at this address

Flynn A. Taylor, M.d.,p.c.Preferred Provider Organization Deridder, LA NPI 1083935415

Other rural health clinic/center providers in Deridder

See all in Deridder →

NPI record

NPI: 1831659333
Entity type: Organization (Type 2)
Issued: Mar 21, 2019
Last updated: Mar 16, 2023
Status: Active

Other names

<unavail>
West Louisiana Family Practice-Deridder · doing business as
West Louisiana Family Practice-Deridder · doing business as

Authorized official

Donald E. Cameron
Board Member
(318) 226-8202

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1831659333

Clhg-Leesville's National Provider Identifier is 1831659333, issued on Mar 21, 2019. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Deridder, LA. The record was last updated on Mar 16, 2023.