NORTH CADDO MEDICAL CENTER HEALTHPLEX NPI 1124155411

NPI Information

NPI: 1124155411
Provider Name: NORTH CADDO MEDICAL CENTER HEALTHPLEX
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 19D1094011

Address:
102 INDUSTRIAL DRIVE
VIVIAN, LA
ZIP 71082
Phone: (318) 375-2808
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NORTH CADDO MEDICAL CENTER HEALTHPLEX is a public health or welfare in Vivian, LA. NORTH CADDO MEDICAL CENTER HEALTHPLEX NPI is 1124155411. The provider is registered as an organization entity type.

The provider's business location address is:

102 INDUSTRIAL DRIVE
VIVIAN, LA
ZIP 71082
Phone: (318) 375-2808
Fax: (318) 375-5032

The provider's authorized official is David Jones .
The authorized official title is Administrator and has the following contact phone number (318) 375-3235.

The CLIA number assigned to this NPI record is 19D1094011 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251K00000X	Public Health or Welfare		210A	LOUISIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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