# CLHG-RUSTON LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CLHG-RUSTON LLC
- **Other names:** Allegiance Medical Clinic of Ruston
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1346904885
- **Legal business name:** CLHG-RUSTON LLC
- **Authorized official:** KATHY HALL (REGIONAL CLINIC OPERATIONS)
- **Authorized official phone:** (318) 254-2589

## Contact information

- **Practice address:** 411 E VAUGHN AVE STE 104, RUSTON, LA 71270-5975
- **Practice address phone:** (318) 254-2100
- **Mailing address:** 401 E VAUGHN AVE, RUSTON, LA 71270-5950
- **Mailing address phone:** (318) 254-2453

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/29/2021
- **Last updated:** 03/13/2024