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Organization
NORTH CADDO HOSPITAL SERVICE DISTRICT
Active
Organization
NORTH CADDO HOSPITAL SERVICE DISTRICT
Active
Other names
NCMC MEDICAL & SURGICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAKOTA ROBINSON (CFO)
(318) 375-4097
Entity
Organization
Contact information
Practice address
815 S PINE ST, VIVIAN, LA 71082-3314
(318) 375-3239
(318) 375-2755
Mailing address
PO BOX 792, VIVIAN, LA 71082-0792
(318) 375-3239
(318) 375-2755
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/14/2008
Last updated
07/25/2023
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