Outpatient Medical Center, Inc.

NPI #1578107769 in Natchitoches, Louisiana

Provider Information

NPI Number
1578107769
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
1621 WELCH ST
ZIP Code
71457-4264
Phone
(318) 238-0066

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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