# WEST CARROLL HEALTH SYSTEMS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lake Providence Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851374748
- **Authorized official:** DEWANA LITTLE (ADMINISTRATOR)
- **Authorized official phone:** (318) 428-3237

## Contact information

- **Practice address:** 319 N HOOD ST, LAKE PROVIDENCE, LA 71254-2141
- **Practice address phone:** (318) 559-1221
- **Practice address fax:** (318) 559-3321
- **Mailing address:** 706 ROSS ST, OAK GROVE, LA 71263-9798
- **Mailing address phone:** (318) 559-1221
- **Mailing address fax:** (318) 559-3321

## Taxonomy

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

## Other

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