# CLHG-OAKDALE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oakdale Family Health Clinic, Oakdale Physician Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043565823
- **Authorized official:** SUZETTE FATULA (CFO)
- **Authorized official phone:** (318) 215-3223

## Contact information

- **Practice address:** 400 E 6TH AVE, OAKDALE, LA 71463-2628
- **Practice address phone:** (318) 335-3501
- **Practice address fax:** (318) 485-4886
- **Mailing address:** PO BOX 629, OAKDALE, LA 71463-0629
- **Mailing address phone:** (318) 335-3700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208M00000X | Hospitalist Physician | — | NULL | — |
| 208M00000X | Hospitalist Physician | — | — | — |

## Other

- **Enumeration date:** 07/18/2012
- **Last updated:** 06/16/2018