# CROSSROADS-HOLLOWAY HEALTH CLINIC LLC

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

## Provider details

- **NPI number:** 1700024825
- **Authorized official:** MR. GEORGE E TOSSPON (OWNER)
- **Authorized official phone:** (318) 339-7038

## Contact information

- **Practice address:** 12805 HIGHWAY 28 EAST, SUITE B, PINEVILLE, LA 71360
- **Practice address phone:** (318) 466-5151
- **Practice address fax:** (318) 466-3535
- **Mailing address:** 12805 HIGHWAY 28 EAST SUITE B, PINEVILLE, LA 71360
- **Mailing address phone:** (318) 466-5151
- **Mailing address fax:** (318) 466-3535

## Taxonomy

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

## Other

- **Enumeration date:** 01/27/2009
- **Last updated:** 03/23/2011