Organization
COMMUNITY FAMILY MEDICAL CLINIC OF BUNKIE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY LEDOUX (ADMINISTRATOR)
(337) 945-1366
Entity
Organization
Contact information
Practice address
117 W MAGNOLIA ST STE 2, BUNKIE, LA 71322-1706
(318) 346-2288
(318) 346-2299
Mailing address
PO BOX 67, VILLE PLATTE, LA 70586-0067
(337) 945-1366
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
04/04/2020
Last updated
04/21/2022
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