# HOLLOWAY RURAL MEDICAL CLINIC LLC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Holloway Rural Health Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336217439
- **Authorized official:** MRS. RONDA A ROSIER CEO (OWNER)
- **Authorized official phone:** (318) 466-1410

## Contact information

- **Practice address:** 10115 HIGHWAY 28 E, PINEVILLE, LA 71360-0746
- **Practice address phone:** (318) 466-1410
- **Practice address fax:** (318) 466-1409
- **Mailing address:** 10115 HIGHWAY 28 E, PINEVILLE, LA 71360-0746
- **Mailing address phone:** (318) 466-1410
- **Mailing address fax:** (318) 466-1409

## Taxonomy

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

## Other

- **Enumeration date:** 11/30/2006
- **Last updated:** 11/19/2007