Organization
CALCASIEU CAMERON HOSPITAL SERVICE DISTRICT
Active
Other names
Vinton Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JANIE FRUGE (CEO)
(337) 527-4241
Entity
Organization
Contact information
Practice address
1611 HAMPTON ST, VINTON, LA 70668-3707
(337) 589-5951
(337) 589-4013
Mailing address
1611 HAMPTON ST, VINTON, LA 70668-3707
(337) 589-5951
(337) 589-4013
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
097
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942502
—
LA
Enumeration date
12/29/2005
Last updated
09/27/2016
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