Outpatient Medical Center, Inc.
NPI #1013551100 in Natchitoches, Louisiana
Provider Information
- NPI Number
- 1013551100
- Entity Type
- Organization
- Organization Name
- Outpatient Medical Center, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- OUTPATIENT MEDICAL CENTER, INC.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Oct 31, 2019
- Last Updated
- Oct 31, 2019
Practice Location
- Address
- 520 SAINT MAURICE LN
- City
- Natchitoches
- State
- Louisiana
- ZIP Code
- 71457-6199
- Phone
- (318) 357-2071
Authorized Official
- Name
- CARL ISIAH WALTERS II
- Title
- CEO
- Phone
- (318) 357-2055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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