| Outpatient Medical Center, Inc. | |
|
804 N Beech St Tallulah LA 71282 | |
| (318) 574-1453 | |
| (318) 574-5876 |
| Full Name | Outpatient Medical Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 804 N Beech St, Tallulah, Louisiana |
| Authorized Official Name and Position | Carl Isiah Walters (CEO) |
| Authorized Official Contact | 3183572055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Outpatient Medical Center, Inc. 1640 Breazeale Springs St Natchitoches LA 71457-4278 Ph: (318) 352-9299 | Outpatient Medical Center, Inc. 804 N Beech St Tallulah LA 71282 Ph: (318) 574-1453 |
| NPI Number | 1750311064 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 08/29/2018 |
| Medicare PECOS PAC ID | 5597651794 |
|---|---|
| Medicare Enrollment ID | O20040225000257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750311064 | NPI | - | NPPES |
| 1941042 | Medicaid | LA |
Dr. Jennifer N Boles, Dds,llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1403 Johnson St, Tallulah, LA 71282 Phone: 318-341-1242 | |
Joseph W. Yerger Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1403 Johnson St, Tallulah, LA 71282 Phone: 318-574-0765 Fax: 318-574-3464 |