Organization
LOUISIANA HEALTH CARE PRACTITIONERS LLC
Active
Other names
Cottonport Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. APRIL RENEE CROCKER (ADMINISTRATION)
(800) 462-0742
Entity
Organization
Contact information
Practice address
1007 SYCAMORE ST STE B, COTTONPORT, LA 71327-3403
(800) 462-0742
(318) 876-3211
Mailing address
PO BOX 1127, COTTONPORT, LA 71327-1127
(800) 462-0742
(318) 876-3211
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1448575
—
LA
Enumeration date
03/13/2008
Last updated
08/28/2023
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