Organization
COLLECTIVE RURAL HEALTHCARE SYSTEM LLC
Active
Other names
Elizabeth Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ALEC DONOVAN JEANSONNE (CEO)
(318) 880-2144
Entity
Organization
Contact information
Practice address
4855 HIGHWAY 10 WEST, SUITE C, ELIZABETH, LA 70638
(318) 634-5600
(318) 634-5602
Mailing address
912 BRYAN ST, COTTONPORT, LA 71327-4288
(888) 995-0591
(318) 581-9067
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
11/11/2022
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