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Organization
COLLECTIVE RURAL HEALTHCARE SYSTEM LLC
Active
Organization
COLLECTIVE RURAL HEALTHCARE SYSTEM LLC
Active
Other names
Elizabeth Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ALEC DONOVAN JEANSONNE (CEO)
(318) 880-2144
Entity
Organization
Contact information
Practice address
4855 HIGHWAY 10 WEST, SUITE C, ELIZABETH, LA 70638
(318) 634-5600
(318) 634-5602
Mailing address
912 BRYAN ST, COTTONPORT, LA 71327-4288
(888) 995-0591
(318) 581-9067
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/09/2022
Last updated
11/11/2022
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