Green Clinic Surgical Center

LBN: Green Clinic Surgical Center
Green Clinic Surgical Center 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 Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Green Clinic Surgical Center can be contacted via phone (318) 232-7148, or through Mcclung, James via phone (318) 232-7186.

Contact Information

Primary practice address
1200 S Farmerville St Ruston LA 71270-5941
Phone: (318) 232-7148
Fax: (318) 232-1092
Website:
Map and Directions
Authorized official contact:
Name: Mcclung, James
Phone: (318) 232-7186

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 87 Louisiana

Profile Details

NPI number 1861581092
LBN Legal business name Green Clinic Surgical Center
DBA Doing business as
Authorized official Mcclung, James
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1861581092 NPPES
Louisiana Other 20063 BCBS PROVIDER NO.
Louisiana MEDICAID 1563951 BCBS PROVIDER NO.

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