Organization
HOLLOWAY RURAL MEDICAL CLINIC LLC.
Active
Other names
Holloway Rural Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RONDA A ROSIER CEO (OWNER)
(318) 466-1410
Entity
Organization
Contact information
Practice address
10115 HIGHWAY 28 E, PINEVILLE, LA 71360-0746
(318) 466-1410
(318) 466-1409
Mailing address
10115 HIGHWAY 28 E, PINEVILLE, LA 71360-0746
(318) 466-1410
(318) 466-1409
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1110876
—
LA
Enumeration date
11/30/2006
Last updated
11/19/2007
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