North Caddo Medical Center | |
103 La-1 Oil City LA 71061 | |
(318) 375-4008 | |
Not Available |
Full Name | North Caddo Medical Center |
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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 |
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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 |
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Provider Enumeration Date | 06/17/2024 |
Last Update Date | 11/20/2024 |
Medicare PECOS PAC ID | 5991231292 |
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Medicare Enrollment ID | O20241210003582 |
Identifier | Type | State | Issuer |
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1144063264 | NPI | - | NPPES |
Provider Name | Jody D Chance |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740365733 PECOS PAC ID: 8325145808 Enrollment ID: I20070517000295 |
Provider Name | Heather Gros Walker |
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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 |