# WK PLAIN DEALING MEDICAL CLINIC

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

## Provider details

- **NPI number:** 1912939687
- **Authorized official:** GREG J GAVIN (NETWORK ADMINISTRATOR)
- **Authorized official phone:** (318) 326-7272

## Contact information

- **Practice address:** 108 N LOUISIANA ST, PLAIN DEALING, LA 71064-3446
- **Practice address phone:** (318) 326-7272
- **Practice address fax:** (318) 326-7282
- **Mailing address:** PO BOX 3038, SHREVEPORT, LA 71133-3038
- **Mailing address phone:** (318) 212-8946
- **Mailing address fax:** (318) 212-4025

## Taxonomy

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

## Other

- **Enumeration date:** 07/06/2006
- **Last updated:** 01/02/2009