# CLHG-VILLE PLATTE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fontenot Internal Medicine Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265032676
- **Authorized official:** KRISTOPHER AGUILLARD (COO)
- **Authorized official phone:** (337) 363-9486

## Contact information

- **Practice address:** 421 JACK MILLER RD, VILLE PLATTE, LA 70586-5613
- **Practice address phone:** (337) 363-4499
- **Practice address fax:** (337) 363-4990
- **Mailing address:** 421 JACK MILLER RD, VILLE PLATTE, LA 70586-5613
- **Mailing address phone:** (337) 363-4499
- **Mailing address fax:** (337) 363-4990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/27/2020
- **Last updated:** 10/27/2020