Start Community Clinic, Llc

LBN: Start Community Clinic, Llc
Start Community Clinic, Llc is an health care organization with primary practice located at 5975 Federal 80 Hwy , Rayville LA 71269-7750. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Start Community Clinic, Llc can be contacted via phone (318) 728-4368, or through Bennett, Jennifer G. via phone (318) 728-4368.

Contact Information

Primary practice address
5975 Federal 80 Hwy Rayville LA 71269-7750
Fax: (318) 728-4397
Website:
Authorized official contact:
Name: Bennett, Jennifer G. Advanced Practice Registered Nurse (APRN)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X 141 Louisiana

Profile Details

NPI number 1760616585
LBN Legal business name Start Community Clinic, Llc
DBA Doing business as
Authorized official Bennett, Jennifer G. Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2009
Last updated Aug 5th, 2009 - about 15 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 1760616585 NPPES
Louisiana MEDICAID 1450791
Louisiana MEDICAID 1027481

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