# WEST OUACHITA FAMILY MEDICINE LLC

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

## Provider details

- **NPI number:** 1417370909
- **Authorized official:** ALAN RAY HANCOCK (PRESIDENT)
- **Authorized official phone:** (318) 644-5838

## Contact information

- **Practice address:** 3057 HIGHWAY 80 W, CALHOUN, LA 71225-7907
- **Practice address phone:** (318) 644-5838
- **Practice address fax:** (318) 644-5836
- **Mailing address:** 3057 HIGHWAY 80 W, CALHOUN, LA 71225-7907
- **Mailing address phone:** (318) 644-5838
- **Mailing address fax:** (318) 644-5836

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | 2203783685 | LA | Yes |

## Other

- **Enumeration date:** 02/04/2014
- **Last updated:** 11/15/2022