| 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 |