Organization
RAYVILLE FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY M MORRIS (ADMINISTRATOR)
(318) 728-8833
Entity
Organization
Contact information
Practice address
1962 JULIA ST, RAYVILLE, LA 71269-5527
(318) 728-8833
(318) 728-6183
Mailing address
1962 JULIA ST, RAYVILLE, LA 71269-5527
(318) 728-8833
(318) 728-6183
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
157
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2168339
—
LA
Enumeration date
01/11/2012
Last updated
01/11/2012
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