# SOUTHSIDE FAMILY CLINIC LLC

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

## Provider details

- **NPI number:** 1164112074
- **Authorized official:** JOHN DIES (PRESIDENT)
- **Authorized official phone:** (337) 580-4061

## Contact information

- **Practice address:** 119 FUSELIER RD, ARNAUDVILLE, LA 70512-6134
- **Practice address phone:** (337) 385-1972
- **Mailing address:** 304 N HOSPITAL DR STE A, ABBEVILLE, LA 70510-4041
- **Mailing address phone:** (337) 385-1972
- **Mailing address fax:** (337) 385-2849

## Taxonomy

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

## Other

- **Enumeration date:** 05/12/2023
- **Last updated:** 05/12/2023