Organization
PRIMARY HEALTH SERVICES CENTER
Active
Other names
PHSC-Grambling Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE M. TONORE (CHIEF EXECUTIVE OFFICER)
(318) 388-1250
Entity
Organization
Contact information
Practice address
7604 HWY 80, GRAMBLING, LA 71245
(318) 388-1250
Mailing address
7604 HWY 80, GRAMBLING, LA 71245
(318) 388-1250
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2437984
—
LA
Enumeration date
08/28/2016
Last updated
04/15/2021
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