Organization
CLHG-DEQUINCY LLC
Active
Other names
Allegiance Medical Clinic of Dequincy
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANEY HIPPLER (REGIONAL DIRECTOR OF CLINIC OPERATI)
(318) 315-7093
Entity
Organization
Contact information
Practice address
601 W 4TH ST, DEQUINCY, LA 70633-3301
(337) 786-6161
Mailing address
110 W 4TH ST, DEQUINCY, LA 70633-3508
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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