# NORTH CADDO HOSPITAL SERVICE DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTH CADDO HOSPITAL SERVICE DISTRICT
- **Other names:** NCMC Medical and Surgical Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003310756
- **Legal business name:** NORTH CADDO HOSPITAL SERVICE DISTRICT
- **Authorized official:** MR. DAKOTA ROBINSON (CFO)
- **Authorized official phone:** (318) 375-4097

## Contact information

- **Practice address:** 815 S PINE ST, VIVIAN, LA 71082-3353
- **Practice address phone:** (318) 375-4007
- **Mailing address:** 815 S PINE ST, VIVIAN, LA 71082-3353
- **Mailing address phone:** (318) 375-4007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/19/2018
- **Last updated:** 05/13/2022