Bienville Medical Center INC
Clinic/Center, Rural Health in Ruston, LA. Organization (NPI-2).
NPI number1962092353
StatusActive
Last updated in NPPESJan 20, 2021
Details
- NPI
- 1962092353
- Entity type
- Organization (NPI-2)
- Legal business name
- Bienville Medical Center INC
- Organization subpart
- No
- Enumeration date
- Jan 20, 2021
- Certification date
- Jan 20, 2021
- Last updated
- Jan 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1300X | Clinic/Center, Rural Health | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 208D00000X | General Practice | – | – |
Other names
- Lincoln Rural Health Express (Doing Business As)
Practice location
411 E Vaughn AveRuston, LA 71270-5972
Phone 318-315-7093
Mailing address
1175 Pine StArcadia, LA 71001-3121
Authorized official
Brittaney L Hippler
Regional Director Of Clinic Operati
3183157093
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