# RAYVILLE FAMILY CLINIC

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

## Provider details

- **NPI number:** 1063782811
- **Authorized official:** TRACY M MORRIS (ADMINISTRATOR)
- **Authorized official phone:** (318) 728-8833

## Contact information

- **Practice address:** 1962 JULIA ST, RAYVILLE, LA 71269-5527
- **Practice address phone:** (318) 728-8833
- **Practice address fax:** (318) 728-6183
- **Mailing address:** 1962 JULIA ST, RAYVILLE, LA 71269-5527
- **Mailing address phone:** (318) 728-8833
- **Mailing address fax:** (318) 728-6183

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 157 | LA | Yes |

## Other

- **Enumeration date:** 01/11/2012
- **Last updated:** 01/11/2012