Outpatient Medical Center, Inc.
LBN: Outpatient Medical Center, Inc.
Outpatient Medical Center, Inc. is an health care organization with primary practice located at 804 N Beech St , Tallulah LA 71282. The organization recently has 6 registered licenses in different health care specialties including Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Outpatient Medical Center, Inc. can be contacted via phone (318) 574-1453, or through Walters, Carl Isiah via phone (318) 357-2055.
Contact Information
Primary practice address
804 N Beech St
Tallulah LA 71282
Phone: (318) 574-1453
Fax: (318) 574-5876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1750311064 |
|---|---|
| LBN Legal business name | Outpatient Medical Center, Inc. |
| DBA Doing business as | |
| Authorized official | Walters, Carl Isiah |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Aug 29th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750311064 | NPPES |
| Louisiana | MEDICAID | 1941042 |
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