Organization
ABBEVILLE GENERAL HOSPITAL
Active
Other names
Maurice Community Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAY LANDRY (CEO)
(337) 893-5466
Entity
Organization
Contact information
Practice address
207 MILTON RD, MAURICE, LA 70555
(337) 898-9449
(337) 898-9556
Mailing address
118 N HOSPITAL DR, ABBEVILLE, LA 70510-4039
(337) 893-5466
(337) 893-2801
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
160RHC-2
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012050
—
LA
Enumeration date
01/16/2007
Last updated
11/10/2020
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