# JC CLINICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CLAIBORNE CLINICAL SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730725003
- **Authorized official:** JOHN S BANNISTER (DIRECTOR)
- **Authorized official phone:** (888) 505-1989

## Contact information

- **Practice address:** 831 W MAIN ST, HOMER, LA 71040-3322
- **Practice address phone:** (888) 505-1989
- **Practice address fax:** (318) 404-1956
- **Mailing address:** PO BOX 729, BENTON, LA 71006-0729
- **Mailing address phone:** (888) 505-1989
- **Mailing address fax:** (318) 404-1956

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/21/2019
- **Last updated:** 07/23/2024