NPIMap

CLHG-Acadian LLC

Organization Active NPI Rural Health Clinic/Center · Eunice, LA

NPI 1003467440 · NPPES record last updated Sep 17, 2020

Key facts

NPI
1003467440
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
CLHG-ACADIAN LLC
Practice address
151 Hill St Ste 102
Eunice, LA 70535-5845
Phone
(337) 457-8040
Fax
(337) 457-3432
NPI assigned
Sep 26, 2019
Organization subpart
No

Authorized official

Name
Kevin F Frank
Title
Ceo
Phone
(337) 580-7504

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 7

Organizations that report the same tax identification number in the National Provider Directory.

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 53

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 53

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 31

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2193579Louisiana Family Practice
151 Hill Street, Eunice, LA 70535		Certificate of waiverSep 22, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

Rural health clinic certification: CCN 198539

Legal name
CLHG-ACADIAN LLC
Doing business as
LOUISIANA FAMILY PRACTICE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 18, 2021
Last certification
Mar 18, 2021
Ownership / control type
1B
Organization structure
LLC · Proprietary
Incorporated
Aug 5, 2016 in LA
Enrollment address
151 Hill St
Ste 102
Eunice, LA 70535-5845
Related CCNs
190318

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Donald Cameron
Individual 		5% Or Greater Indirect Ownership Interest Sep 1, 2020 16%
Corporate Director
Board Member		 Sep 1, 2020
Operational/Managerial Control
Owner Board Member		 Sep 1, 2020
Rock Bordelon
Individual 		5% Or Greater Direct Ownership Interest Sep 1, 2020 80%
Corporate Director
Board Member		 Sep 1, 2020
Operational/Managerial Control
Owner Board Member		 Sep 1, 2020
Allegiance Health Management Inc
Organization · Shreveport, LA
Corporation 		Operational/Managerial Control Sep 1, 2020
David Ingram
Individual 		Corporate Director
Ceo		 Aug 1, 2024
W-2 Managing Employee Aug 1, 2024 100%
Cameron Investments LLC
Organization · Shreveport, LA
LLC 		5% Or Greater Direct Ownership Interest Sep 1, 2020 16%

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20200924002230 LA Part a Provider - Rural Health Clinic 0840521209 Practice locations: Eunice, LA

National Provider Directory

Tax ID family
CLHG-Oakdale LLC (8 organizations share this tax ID)

Locations

151 Hill St
Ste 102
Eunice, LA 70535
Phone (337) 457-8040

151 Hill St
#102
Eunice, LA 70535

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Yes

Addresses

Primary practice location

151 Hill St Ste 102
Eunice, LA 70535-5845

Mailing address

151 Hill St Ste 102
Eunice, LA 70535-5845
Phone (337) 457-8040

Other names

  • Louisiana Family Practice Doing business as

Other providers in Eunice, LA

All providers in Eunice, LA · Rural Health Clinic/Center in Louisiana

Sources for this page

Verify at the official NPI Registry.