| Wk Oil City Medical Clinic | |
| 
					103 South Hwy 1 Oil City LA 71061  | |
| (318) 995-6504 | |
| (318) 995-6535 | 
| Full Name | Wk Oil City Medical Clinic | 
|---|---|
| Speciality | Family Medicine | 
| Location | 103 South Hwy 1, Oil City, Louisiana | 
| Authorized Official Name and Position | Greg J. Gavin (NETWORK ADMINISTRATOR) | 
| Authorized Official Contact | 3182124232 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Wk Oil City Medical Clinic 103 South Hwy 1 Oil City LA 71061 Ph: (318) 995-6504  | Wk Oil City Medical Clinic 103 South Hwy 1 Oil City LA 71061 Ph: (318) 995-6504  | 
| NPI Number | 1588877179 | 
|---|---|
| Provider Enumeration Date | 05/08/2007 | 
| Last Update Date | 06/08/2012 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1588877179 | NPI | - | NPPES | 
| 1014991 | Medicaid | LA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
North Caddo Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 103 La-1, Oil City, LA 71061 Phone: 318-375-4008  |