Lake Providence Medical Clinic

LBN: West Carroll Health Systems Llc
Lake Providence Medical Clinic is an health care organization with primary practice located at 319 N Hood St , Lake Providence LA 71254-2141. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. West Carroll Health Systems Llc can be contacted via phone (318) 559-1221, or through Little, Dewana via phone (318) 428-3237.

Contact Information

Primary practice address
319 N Hood St Lake Providence LA 71254-2141
Phone: (318) 559-1221
Fax: (318) 559-3321
Website:
Map and Directions
Authorized official contact:
Name: Little, Dewana
Phone: (318) 428-3237

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X Louisiana

Profile Details

NPI number 1851374748
LBN Legal business name West Carroll Health Systems Llc
DBA Doing business as Lake Providence Medical Clinic
Authorized official Little, Dewana
Entity Organization
Organization subpart 1 No
Enumeration date Nov 23rd, 2005
Last updated Dec 12th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851374748 NPPES
Louisiana MEDICAID 1944521

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