# NORTH CADDO MEDICAL CENTER HEALTHPLEX

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124155411
- **Authorized official:** MR. DAVID JONES CEO (ADMINISTRATOR)
- **Authorized official phone:** (318) 375-3235

## Contact information

- **Practice address:** 102 INDUSTRIAL DRIVE, VIVIAN, LA 71082
- **Practice address phone:** (318) 375-2808
- **Practice address fax:** (318) 375-5032
- **Mailing address:** 102 INDUSTRIAL DRIVE, P.O. BOX 952, VIVIAN, LA 71082
- **Mailing address phone:** (318) 375-2808
- **Mailing address fax:** (318) 375-5032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 210A | LA | Yes |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 08/22/2020