Provider Demographics
NPI:1669150876
Name:CLHG-AVOYELLES, LLC
Entity type:Organization
Organization Name:CLHG-AVOYELLES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CURRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-240-6000
Mailing Address - Street 1:PO BOX 249
Mailing Address - Street 2:
Mailing Address - City:MARKSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71351-0249
Mailing Address - Country:US
Mailing Address - Phone:318-240-6000
Mailing Address - Fax:
Practice Address - Street 1:10542 HWY 1
Practice Address - Street 2:
Practice Address - City:MOREAUVILLE
Practice Address - State:LA
Practice Address - Zip Code:71355
Practice Address - Country:US
Practice Address - Phone:318-785-0102
Practice Address - Fax:318-785-0103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-07
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty