Hackberry Rural Health Clinic

LBN: Calcasieu Cameron Hospital Service District
Hackberry Rural Health Clinic is an health care organization with primary practice located at 1020 Main St , Hackberry LA 70645-3303. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Calcasieu Cameron Hospital Service District can be contacted via phone (337) 762-3762, or through Fruge, Janie via phone (337) 527-4241.

Contact Information

Primary practice address
1020 Main St Hackberry LA 70645-3303
Phone: (337) 762-3762
Fax: (337) 762-3838
Website:
Map and Directions
Authorized official contact:
Name: Fruge, Janie
Phone: (337) 527-4241

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X 001 Louisiana

Profile Details

NPI number 1467456814
LBN Legal business name Calcasieu Cameron Hospital Service District
DBA Doing business as Hackberry Rural Health Clinic
Authorized official Fruge, Janie
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2005
Last updated Sep 30th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467456814 NPPES
Louisiana MEDICAID 1945251

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