Organization
MERCY MEDICAL HEALTH CENTER
Active
Parent organization
MERCY MEDICAL HEALTH CENTER
Other names
Mercy Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY MEDICAL HEALTH CENTER
Authorized official
KIMBERLY G. BRUNSON APRN (CEO)
(318) 259-1100
Entity
Organization
Contact information
Practice address
900 S VIENNA ST, RUSTON, LA 71270-5830
(318) 251-0334
Mailing address
PO BOX 70, HODGE, LA 71247-0070
(318) 259-1100
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
06/26/2025
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