WEST CARROLL HEALTH SYSTEMS LLC NPI 1780667766

NPI Information

  • NPI: 1780667766
  • Provider Name: WEST CARROLL HEALTH SYSTEMS LLC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: WEST CARROLL MEDICAL CLINIC
  • CLIA Number: 19D0464390
  • Address: 502 ROSS ST
    OAK GROVE, LA
    ZIP 71263
  • Phone: (318) 428-2358

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NPI Details

WEST CARROLL HEALTH SYSTEMS LLC is a rural health clinic center in Oak Grove, LA. WEST CARROLL HEALTH SYSTEMS LLC NPI is 1780667766. The provider is registered as an organization entity type.
The provider Is Doing Business As West Carroll Medical Clinic.

The provider's business location address is:

502 ROSS ST
OAK GROVE, LA
ZIP 71263-706
Phone: (318) 428-2358
Fax: (318) 428-2350

The provider's authorized official is Dewana Little .
The authorized official title is Administrator and has the following contact phone number (318) 428-3237.

The CLIA number assigned to this NPI record is 19D0464390 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/23/2005 and was last updated on 12/12/2023.

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
1261QR1300XClinic/CenterRural HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11943941MEDICAIDLOUISIANA

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: 3/30/2025

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