Organization
CLHG-VILLE PLATTE LLC
Active
Other names
Fontenot Internal Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTOPHER AGUILLARD (COO)
(337) 363-9486
Entity
Organization
Contact information
Practice address
421 JACK MILLER RD, VILLE PLATTE, LA 70586-5613
(337) 363-4499
(337) 363-4990
Mailing address
421 JACK MILLER RD, VILLE PLATTE, LA 70586-5613
(337) 363-4499
(337) 363-4990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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