| NPI | 1003042698 |
|---|---|
| Doing Business As | EVANGELINE FAMILY MEDICINE CENTER |
| Entity Type | Organization |
| Authorized Contact | DODIE LAMOTT Chief Executive Officer 337-942-3390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2018-10-29 |