| Organization Name: | RAYVILLE FAMILY CLINIC |
| NPI Number: | 1063782811 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TRACY M MORRIS (ADMINISTRATOR) |
| Mailing Address: | 1962 Julia St Rayville |
| State: | LA US |
| Postal Code: | 712695527 |
| Phone Number: | 3187288833 |
| Fax Number: | 3187286183 |
| NPI Enumeration Date: | 01/11/2012 |
| NPI Last Update Date: | 01/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 157 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |