Organization
CLHG-RUSTON LLC
Active
Parent organization
CLHG-RUSTON LLC
Other names
Allegiance Medical Clinic of Ruston
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLHG-RUSTON LLC
Authorized official
KATHY HALL (REGIONAL CLINIC OPERATIONS)
(318) 254-2589
Entity
Organization
Contact information
Practice address
411 E VAUGHN AVE STE 104, RUSTON, LA 71270-5975
(318) 254-2100
Mailing address
401 E VAUGHN AVE, RUSTON, LA 71270-5950
(318) 254-2453
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
207Q00000X
Family Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
208000000X
Pediatrics Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2021
Last updated
03/13/2024
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