# WOODWORTH FAMILY MEDICINE INC.

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

## Provider details

- **NPI number:** 1639368335
- **Authorized official:** MR. DAVID VANMOL (PRESIDENT)
- **Authorized official phone:** (318) 484-9588

## Contact information

- **Practice address:** 9372 HWY.165 SOUTH, WOODWORTH, LA 71485
- **Practice address phone:** (318) 484-9588
- **Practice address fax:** (318) 484-9590
- **Mailing address:** P.O.BOX406, WOODWORTH, LA 71485
- **Mailing address phone:** (318) 484-9588
- **Mailing address fax:** (318) 484-9590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 119 | LA | Yes |

## Other

- **Enumeration date:** 10/18/2007
- **Last updated:** 10/18/2007