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Organization

VILLAGE RURAL HEALTH CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALLEN L. SPIRES M.D. (CEO)
(318) 647-5008
Entity
Organization

Contact information

Practice address
301 DAVENPORT AVENUE, MER ROUGE, LA 71261
(318) 647-5008
Mailing address
PO BOX 429, MER ROUGE, LA 71261-0429
(318) 647-5008

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
07/10/2015
Last updated
07/10/2015
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