| North Caddo Medical Center | |
|
103 La-1 Oil City LA 71061 | |
| (318) 375-4008 | |
| Not Available |
| Full Name | North Caddo Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 103 La-1, Oil City, Louisiana |
| Authorized Official Name and Position | David Jones (CEO) |
| Authorized Official Contact | 3183754008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Caddo Medical Center Po Box 792 Vivian LA 71082-0792 Ph: () - | North Caddo Medical Center 103 La-1 Oil City LA 71061 Ph: (318) 375-4008 |
| NPI Number | 1144063264 |
|---|---|
| Provider Enumeration Date | 06/17/2024 |
| Last Update Date | 11/20/2024 |
| Medicare PECOS PAC ID | 5991231292 |
|---|---|
| Medicare Enrollment ID | O20241210003582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144063264 | NPI | - | NPPES |
| Provider Name | Jody D Chance |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740365733 PECOS PAC ID: 8325145808 Enrollment ID: I20070517000295 |
| Provider Name | Heather Gros Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033841036 PECOS PAC ID: 3375910052 Enrollment ID: I20221109002291 |
Wk Oil City Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 South Hwy 1, Oil City, LA 71061 Phone: 318-995-6504 Fax: 318-995-6535 |