Provider Demographics
NPI:1912598418
Name:CLHG-AVOYELLES LLC
Entity Type:Organization
Organization Name:CLHG-AVOYELLES LLC
Other - Org Name:LECOMPTE FAMILY CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NELL
Authorized Official - Middle Name:FEHMIE
Authorized Official - Last Name:OLGUIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-253-0677
Mailing Address - Street 1:4231 LA-1192
Mailing Address - Street 2:
Mailing Address - City:MARKSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71351
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1610 WATER ST
Practice Address - Street 2:
Practice Address - City:LECOMPTE
Practice Address - State:LA
Practice Address - Zip Code:71346-4734
Practice Address - Country:US
Practice Address - Phone:318-406-8010
Practice Address - Fax:318-406-8011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-28
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty