| Ncmc Medical & Surgical Clinic | |
|
815 S Pine St Vivian LA 71082-3314 | |
| (318) 375-3239 | |
| (318) 375-2755 |
| Full Name | Ncmc Medical & Surgical Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 815 S Pine St, Vivian, Louisiana |
| Authorized Official Name and Position | Dakota Robinson (CFO) |
| Authorized Official Contact | 3183754097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ncmc Medical & Surgical Clinic Po Box 792 Vivian LA 71082-0792 Ph: (318) 375-3239 | Ncmc Medical & Surgical Clinic 815 S Pine St Vivian LA 71082-3314 Ph: (318) 375-3239 |
| NPI Number | 1013181866 |
|---|---|
| Provider Enumeration Date | 04/14/2008 |
| Last Update Date | 07/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013181866 | NPI | - | NPPES |
| 1038130 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Ncmc Medical And Surgical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 S Pine St, Vivian, LA 71082 Phone: 318-375-4007 | |
Medical & Surgical Clinic A Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1003 South Spruce St, Vivian, LA 71082 Phone: 318-375-3239 Fax: 318-375-2755 |