CLHG-Ruston LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CLHG-RUSTON LLC

Practice address

401 E Vaughn Ave
Ruston, LA 71270-5950

Phone

(318) 254-2100

NPI assigned

Nov 26, 2021

Last updated

Nov 26, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Autumn Fulmer

Title

Director of Clinic Operations

Phone

(318) 372-2017

Specialties & licenses 2

Addresses

Tax ID family

CLHG-Ruston LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

• CLHG-Ruston LLC

  dba Ruston Physician Practices

  • General Practice Physician
  • Ruston, LA
  • NPI 1245964931
  NPD tax ID
• CLHG-Ruston LLC

  dba Allegiance Medical Clinic of Ruston

  • Rural Health Clinic/Center
  • Ruston, LA
  • NPI 1346904885
  NPD tax ID
• CLHG-Ruston LLC

  dba Freedom Behavioral Hospital of Ruston, an offsite DPU of Northern Loui

  • Psychiatric Hospital Unit
  • Ruston, LA
  • NPI 1588237747
  NPD tax ID
• CLHG-Ruston LLC

  dba Northern Louisiana Medical Center Reference Laboratory

  • Clinical Medical Laboratory
  • Ruston, LA
  • NPI 1619793668
  NPD tax ID
• CLHG-Ruston LLC

  dba Northern Louisiana Medical Center

  • Rehabilitation Hospital Unit
  • Ruston, LA
  • NPI 1770368920
  NPD tax ID
• CLHG-Ruston LLC

  dba Allegiance Medical Clinic Northside Family Practice

  • Family Medicine Physician
  • Ruston, LA
  • NPI 1821819665
  NPD tax ID
• CLHG-Ruston LLC

  dba Ruston Family Care Center

  • Family Medicine Physician
  • Ruston, LA
  • NPI 1942181276
  NPD tax ID
• CLHG-Ruston LLC

  dba Northern Louisiana Medical Center

  • General Acute Care Hospital
  • Ruston, LA
  • NPI 1962024026
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637884800000",
    "number": "1477210342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E VAUGHN AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E VAUGHN AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705950",
            "telephone_number": "318-254-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLHG-RUSTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-26",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "FULMER",
        "authorized_official_first_name": "AUTUMN",
        "authorized_official_title_or_position": "DIRECTOR OF CLINIC OPERATIONS",
        "authorized_official_telephone_number": "318-372-2017"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Granger Clark
• Danny Clay, RPH
• CLHG-Ruston LLC (Allegiance Medical Clinic)
• CLHG-Ruston LLC (Ruston Physician Practices)
• CLHG-Ruston LLC (Allegiance Medical Clinic of Ruston)
• CLHG-Ruston LLC (Freedom Behavioral Hospital of Ruston, an offsite DPU of Northern Loui)
• CLHG-Ruston LLC (Northern Louisiana Medical Center Reference Laboratory)
• CLHG-Ruston LLC (Northern Louisiana Medical Center)
• CLHG-Ruston LLC (Allegiance Medical Clinic Northside Family Practice)
• CLHG-Ruston LLC (Ruston Family Care Center)

• Pediatrics Physician in Ruston, LA
• Providers in Ruston, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.