# CABUCK COMMUNITY CLINIC

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

## Provider details

- **NPI number:** 1336935618
- **Authorized official:** MRS. KIMBERLY ANDREWS RN (ADMINISTRATOR)
- **Authorized official phone:** (318) 303-4019

## Contact information

- **Practice address:** 13 CABUCK LN, RAYVILLE, LA 71269-7402
- **Practice address phone:** (318) 303-4019
- **Practice address fax:** (318) 303-4184
- **Mailing address:** 13 CABUCK LN, RAYVILLE, LA 71269-7402
- **Mailing address phone:** (318) 303-4019
- **Mailing address fax:** (318) 303-4184

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | — | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/15/2025
- **Last updated:** 02/17/2026