# COMMUNITY FAMILY MEDICAL CLINIC OF BUNKIE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013546720
- **Authorized official:** AMY LEDOUX (ADMINISTRATOR)
- **Authorized official phone:** (337) 945-1366

## Contact information

- **Practice address:** 117 W MAGNOLIA ST STE 2, BUNKIE, LA 71322-1706
- **Practice address phone:** (318) 346-2288
- **Practice address fax:** (318) 346-2299
- **Mailing address:** PO BOX 67, VILLE PLATTE, LA 70586-0067
- **Mailing address phone:** (337) 945-1366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/04/2020
- **Last updated:** 04/21/2022