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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COUNTRY CLINIC, LLC

Active Organization

COUNTRY CLINIC, LLC is a Family Medicine organization located in SIMMESPORT, Louisiana. NPI 1609825892 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SIMMESPORT, LA

Registration Details

NPI Number
1609825892
Provider Type
Organization
NPI Issued
May 8, 2006 (20.282879198719 yrs)
Last Updated
Nov 13, 2014
License
025398 (LA)

Practice Information

Address
314 CHRISTINE LN
SIMMESPORT, LA, 713692256
Browse LA providers · Browse ZIP 71369
Phone
3189412057
Fax
3189412067
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.