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Organization
COMMUNITY FAMILY MEDICAL CLINIC OF BUNKIE LLC
Active
Organization
COMMUNITY FAMILY MEDICAL CLINIC OF BUNKIE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY LEDOUX (ADMINISTRATOR)
(337) 945-1366
Entity
Organization
Contact information
Practice address
117 W MAGNOLIA ST STE 2, BUNKIE, LA 71322-1706
(318) 346-2288
(318) 346-2299
Mailing address
PO BOX 67, VILLE PLATTE, LA 70586-0067
(337) 945-1366
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
04/04/2020
Last updated
04/21/2022
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