CARLOCK ENTERPRISES LLC NPI 1649524257

NPI Information

  • NPI: 1649524257
  • Provider Name: CARLOCK ENTERPRISES LLC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • :
  • CLIA Number: 19D2050315
  • Address: 1100 NOLAN TRACE
    LEESVILLE, LA
    ZIP 71446
  • Phone: (337) 238-5180

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NPI Details

CARLOCK ENTERPRISES LLC is a rural health clinic center in Leesville, LA. CARLOCK ENTERPRISES LLC NPI is 1649524257. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider .

The provider's business location address is:

1100 NOLAN TRACE
LEESVILLE, LA
ZIP 71446
Phone: (337) 238-5180
Fax: (318) 759-0828

The provider's authorized official is Victor Vance Carlock .
The authorized official title is Provider / Owner and has the following contact phone number (337) 238-5180.

The CLIA number assigned to this NPI record is 19D2050315 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/5/2012 and was last updated on 5/20/2025.

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
1363L00000XNurse PractitionerLOUISIANANo
2363LF0000XNurse PractitionerFamilyLOUISIANANo
3363LP2300XNurse PractitionerPrimary CareLOUISIANANo
4261QR1300XClinic/CenterRural HealthLOUISIANAYes

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: 11/21/2025

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