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Organization
CLHG-OAKDALE LLC
Active
Organization
CLHG-OAKDALE LLC
Active
Other names
Family Medicine Associates of Oakdale
Organization subpart
No
Provider details
NPI number
Authorized official
ROCK BORDELON (CEO)
(318) 226-8202
Entity
Organization
Contact information
Practice address
105 HOSPITAL DR, OAKDALE, LA 71463-3034
(318) 335-4320
Mailing address
130 HOSPITAL DR, OAKDALE, LA 71463-3035
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/28/2021
Last updated
12/13/2022
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