Green Clinic Surgical Hospital, LLC
General Acute Care Hospital in Ruston, LA. Organization (NPI-2).
NPI number1700975083
StatusActive
Last updated in NPPESJan 14, 2008
Details
- NPI
- 1700975083
- Entity type
- Organization (NPI-2)
- Legal business name
- Green Clinic Surgical Hospital, LLC
- Organization subpart
- No
- Enumeration date
- Oct 12, 2006
- Last updated
- Jan 14, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 282N00000X | General Acute Care Hospital | 515 | LA | Yes |
Practice location
1118 S Farmerville StRuston, LA 71270-5914
Phone 318-232-7700 · Fax 318-232-1092
Mailing address
1118 S Farmerville StRuston, LA 71270-5914
Phone 318-232-7700 · Fax 318-232-1092
Authorized official
James McClung
Administrator
3182327186
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