| Organization Name: | START COMMUNITY CLINIC, LLC |
| NPI Number: | 1760616585 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER G. BENNETT (OWNER) |
| Mailing Address: | 5975 Federal 80 Hwy Rayville |
| State: | LA US |
| Postal Code: | 712697750 |
| Phone Number: | 3187284368 |
| Fax Number: | 3187284397 |
| NPI Enumeration Date: | 05/07/2009 |
| NPI Last Update Date: | 08/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 141 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |