# NORTH CADDO HOSPITAL SERVICE DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NCMC MEDICAL & SURGICAL CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013181866
- **Authorized official:** MR. DAKOTA ROBINSON (CFO)
- **Authorized official phone:** (318) 375-4097

## Contact information

- **Practice address:** 815 S PINE ST, VIVIAN, LA 71082-3314
- **Practice address phone:** (318) 375-3239
- **Practice address fax:** (318) 375-2755
- **Mailing address:** PO BOX 792, VIVIAN, LA 71082-0792
- **Mailing address phone:** (318) 375-3239
- **Mailing address fax:** (318) 375-2755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/14/2008
- **Last updated:** 07/25/2023