# BJC HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Montgomery Family Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730429952
- **Authorized official:** MATTHEW SIGLER (PMC)
- **Authorized official phone:** (318) 201-5321

## Contact information

- **Practice address:** 641 ROWENA ST, MONTGOMERY, LA 71454
- **Practice address phone:** (318) 646-3000
- **Mailing address:** 641 ROWENA STREET, MONTGOMERY, LA 71454-3636
- **Mailing address phone:** (318) 646-3000
- **Mailing address fax:** (318) 646-3002

## Taxonomy

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

## Other

- **Enumeration date:** 02/25/2013
- **Last updated:** 07/12/2018