# CENLA FAMILY MEDICAL CENTER, LLC

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

## Provider details

- **NPI number:** 1467599530
- **Authorized official:** MELANIE L SLAUGHTER (ADMINISTRATOR)
- **Authorized official phone:** (318) 776-9340

## Contact information

- **Practice address:** 1610 WATER STREET, LECOMPTE, LA 71346
- **Practice address phone:** (318) 776-9340
- **Practice address fax:** (318) 776-8889
- **Mailing address:** PO BOX 399, LECOMPTE, LA 71346-0399
- **Mailing address phone:** (318) 776-9340
- **Mailing address fax:** (318) 776-8889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 02164 | LA | Yes |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 09/01/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1441899 | — | LA |
