Green Clinic

LBN: Green Clinic
Green Clinic is an health care organization with primary practice located at 1200 S Farmerville St , Ruston LA 71270-5941. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Green Clinic can be contacted via phone (318) 251-6216, or through Knight, Lora J via phone (318) 251-6216.

Contact Information

Primary practice address
1200 S Farmerville St Ruston LA 71270-5941
Phone: (318) 251-6216
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Knight, Lora J
Phone: (318) 251-6216

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1457330185
LBN Legal business name Green Clinic
DBA Doing business as
Authorized official Knight, Lora J
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 11th, 2006
Last updated Apr 20th, 2008 - about 17 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 1457330185 NPPES
Louisiana MEDICAID 1542580
Louisiana Other C5055

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