Organization
CLHG-LEESVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD E. CAMERON JR. (BOARD MEMBER)
(318) 226-8202
Entity
Organization
Contact information
Practice address
427 N PINE ST, DERIDDER, LA 70634-3905
(337) 462-6471
(337) 462-6792
Mailing address
1020 W FERTITTA BLVD, LEESVILLE, LA 71446-4645
(318) 239-9041
(318) 239-5360
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
03/16/2023
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