# SOUTHSIDE FAMILY CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Delcambre Family Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073109930
- **Authorized official:** JOHN DIES (PRESIDENT)
- **Authorized official phone:** (337) 580-4061

## Contact information

- **Practice address:** 506 W HIGHWAY 14, DELCAMBRE, LA 70528-2308
- **Practice address phone:** (337) 685-2020
- **Mailing address:** 506 W HIGHWAY 14, DELCAMBRE, LA 70528-2308

## 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:** 12/15/2020
- **Last updated:** 03/14/2022