# START COMMUNITY CLINIC, LLC

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

## Provider details

- **NPI number:** 1760616585
- **Authorized official:** JENNIFER G. BENNETT APRN (OWNER)
- **Authorized official phone:** (318) 728-4368

## Contact information

- **Practice address:** 5975 FEDERAL 80 HWY, RAYVILLE, LA 71269-7750
- **Practice address phone:** (318) 728-4368
- **Practice address fax:** (318) 728-4397
- **Mailing address:** PO BOX 367, START, LA 71279-0367
- **Mailing address phone:** (318) 728-4368
- **Mailing address fax:** (318) 728-4397

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 141 | LA | Yes |

## Other

- **Enumeration date:** 05/07/2009
- **Last updated:** 08/05/2009