1. Home
  2. Directory
  3. Louisiana
  4. Ruston
  5. Clinic Center
  6. NPI Profile

ALLEGIANCE MEDICAL CLINIC OF RUSTON
NPI 1346904885
Clinic/Center - Rural Health in Ruston, LA

Active since October 29, 2021CLIA Certified · 2 labs
411 E VAUGHN AVE STE 104, RUSTON, LA 71270(318) 254-2100 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 16, 2023, Jan 24, 2023, Jan 16, 2023 and 2 more (5 updates tracked since 2021).

About Allegiance Medical Clinic Of Ruston NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALLEGIANCE MEDICAL CLINIC OF RUSTON (NPI 1346904885) is a healthcare organization registered as a rural health in Ruston, Louisiana and active in the NPI registry since October 2021. The organization holds 2 active CLIA laboratory certificates and lists Kathy Hall, Regional Clinic Operations, as its authorized official.

NPPES Registry Identity

NPI1346904885
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCLHG-RUSTON LLC
Location Address411 E VAUGHN AVE STE 104Ruston, LA 71270-5975
Mailing Address401 E Vaughn AveRuston, LA 71270-5950 · (318) 254-2453
Phone(318) 254-2100
Organization SubpartYes
Authorized OfficialKathy HallRegional Clinic Operations · (318) 254-2589
Enumeration DateOctober 29, 2021
Last NPPES UpdateMarch 13, 20245 updates tracked since enumeration
NPPES CertifiedMarch 13, 2024
✔ NPI 1346904885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedPediatricsTaxonomy 208000000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
411 E VAUGHN AVE STE 104, Ruston, LA 71270
Open in Google Maps ↗

Other Names 1

Doing Business AsAllegiance Medical Clinic Of Ruston

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2263837

Allegiance Medical Clinic Of Ruston · Ruston, LA
Active · expires Jul 5, 2028
CLIA Number19D2263837
Laboratory TypeRural Health Clinic
Certificate Effective DateJuly 6, 2026
Certificate Expiration DateJuly 5, 2028
Laboratory DirectorRavali Tarigopula
Laboratory Phone(318) 254-2589
Laboratory LocationAllegiance Medical Clinic Of Ruston411 East Vaughn Avenue, Suite 104, Ruston, LA 71270
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 19D2292031

Allegiance Medical Clinic · Ruston, LA
Active · expires Oct 18, 2027
CLIA Number19D2292031
Laboratory TypeRural Health Clinic
Certificate Effective DateOctober 19, 2025
Certificate Expiration DateOctober 18, 2027
Laboratory DirectorBobby Ensminger
Laboratory Phone(318) 254-2113
Laboratory LocationAllegiance Medical Clinic1200 Celebrity Drive, Ruston, LA 71270
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELYSE MILLS FNP-C
Nurse Practitioner (Family)
411 E VAUGHN AVE STE 104
RUSTON, LA 71270
Lincoln Parish (318) 254-2589
MR. MARK DAVID BURNS FNP-C
Nurse Practitioner (Family)
411 E VAUGHN AVE STE 104
RUSTON, LA 71270
Lincoln Parish (318) 254-2453
SOHEIL SABZEVARI
Orthopaedic Surgery
411 E VAUGHN AVE STE 104
RUSTON, LA 71270
Lincoln Parish (318) 254-2453
OMAR CHAABO MD
Internal Medicine (Interventional Cardiology)
411 E VAUGHN AVE STE 104
RUSTON, LA 71270
Lincoln Parish (318) 254-2453

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clhg-Ruston LLC's NPI number?

The NPI number for Clhg-Ruston LLC is 1346904885. It was assigned to this organization in the NPPES registry on October 29, 2021. The provider is doing business as Allegiance Medical Clinic Of Ruston.

Where is Clhg-Ruston LLC located?

Clhg-Ruston LLC is located at 411 E Vaughn Ave Ste 104, Ruston, LA 71270. The listed phone number is (318) 254-2100.

What is Clhg-Ruston LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Clhg-Ruston LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Clhg-Ruston LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Clhg-Ruston LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clhg-Ruston LLC was last updated on March 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.