Organization
CALCASIEU CAMERON HOSPITAL SERVICE DISTRICT
Active
Other names
Hackberry Rural Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JANIE FRUGE (CEO)
(337) 527-4241
Entity
Organization
Contact information
Practice address
1020 MAIN ST, HACKBERRY, LA 70645-3303
(337) 762-3762
(337) 762-3838
Mailing address
1020 MAIN ST, HACKBERRY, LA 70645-3303
(337) 762-3762
(337) 762-3838
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
001
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1945251
—
LA
Enumeration date
06/13/2005
Last updated
09/30/2016
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