Organization Name: | WEST CARROLL HEALTH SYSTEMS LLC |
NPI Number: | 1366425308 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEWANA LITTLE (ADMINISTRATOR) |
Mailing Address: | 708 E Main St Oak Grove |
State: | LA US |
Postal Code: | 712632500 |
Phone Number: | 3184283200 |
Fax Number: | 3184287896 |
NPI Enumeration Date: | 11/23/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |