CLHG-Ruston LLC

General Practice Physician · Ruston, LA

Organization Active NPI

NPI number 1245964931

Practice location

401 E Vaughn Ave
Ruston, LA 71270-5950
Phone
(318) 254-2100

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NPI record

NPI
1245964931
Entity type
Organization (Type 2)
Enumeration date
July 11, 2022
Last updated
September 6, 2022
Certified
September 2, 2022
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X — —
Pulmonary Disease Physician 207RP1001X — —
Clinic/Center 261Q00000X — —
Family Nurse Practitioner 363LF0000X — —

Authorized official

Name
Rock Matthew Bordelon
Title
Owner
Phone
(318) 629-3269

Other names

  • Ruston Physician Practices

About CLHG-Ruston LLC

CLHG-Ruston LLC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 401 E Vaughn Ave, Ruston, LA 71270-5950. The NPI number 1245964931 was assigned on July 11, 2022 and the record was last updated on September 6, 2022.

The authorized official for this organization is Rock Matthew Bordelon, Owner.

Frequently asked questions

What is the NPI number of CLHG-Ruston LLC?

The NPI number is 1245964931.

What is the phone number of CLHG-Ruston LLC?

The phone number listed for the practice location is (318) 254-2100.

Where is CLHG-Ruston LLC located?

401 E Vaughn Ave, Ruston, LA 71270-5950.

What is the taxonomy code for CLHG-Ruston LLC?

The primary taxonomy code is 208D00000X – General Practice Physician; 3 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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