Provider Demographics
NPI:1003467440
Name:CLHG-ACADIAN LLC
Entity Type:Organization
Organization Name:CLHG-ACADIAN LLC
Other - Org Name:LOUISIANA FAMILY PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:F
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-580-7504
Mailing Address - Street 1:151 HILL ST STE 102
Mailing Address - Street 2:
Mailing Address - City:EUNICE
Mailing Address - State:LA
Mailing Address - Zip Code:70535-5845
Mailing Address - Country:US
Mailing Address - Phone:337-457-8040
Mailing Address - Fax:337-457-3432
Practice Address - Street 1:151 HILL ST STE 102
Practice Address - Street 2:
Practice Address - City:EUNICE
Practice Address - State:LA
Practice Address - Zip Code:70535-5845
Practice Address - Country:US
Practice Address - Phone:337-457-8040
Practice Address - Fax:337-457-3432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-26
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health