# COLLECTIVE RURAL HEALTHCARE SYSTEM LLC

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

## Provider details

- **NPI number:** 1841908761
- **Authorized official:** ALEC DONOVAN JEANSONNE (CEO)
- **Authorized official phone:** (318) 880-2144

## Contact information

- **Practice address:** 4855 HIGHWAY 10 WEST, SUITE C, ELIZABETH, LA 70638
- **Practice address phone:** (318) 634-5600
- **Practice address fax:** (318) 634-5602
- **Mailing address:** 912 BRYAN ST, COTTONPORT, LA 71327-4288
- **Mailing address phone:** (888) 995-0591
- **Mailing address fax:** (318) 581-9067

## Taxonomy

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

## Other

- **Enumeration date:** 11/09/2022
- **Last updated:** 11/11/2022