# WEST CARROLL HEALTH SYSTEMS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oak Grove Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366425308
- **Authorized official:** DEWANA LITTLE (ADMINISTRATOR)
- **Authorized official phone:** (318) 428-3237

## Contact information

- **Practice address:** 708 E MAIN ST, OAK GROVE, LA 71263-2500
- **Practice address phone:** (318) 428-3200
- **Practice address fax:** (318) 428-7896
- **Mailing address:** 706 ROSS ST, OAK GROVE, LA 71263-9798
- **Mailing address phone:** (318) 428-3200
- **Mailing address fax:** (318) 428-7896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/23/2005
- **Last updated:** 12/12/2023
