Organization
OUTPATIENT MEDICAL CENTER, INC.
Active
Parent organization
OUTPATIENT MEDICAL CENTER, INC.
Other names
SBHC- Weaver Elementary
Organization subpart
Yes
Provider details
NPI number
Legal business name
OUTPATIENT MEDICAL CENTER, INC.
Authorized official
CARL ISIAH WALTERS II (CEO)
(318) 357-2055
Entity
Organization
Contact information
Practice address
520 SAINT MAURICE LN, NATCHITOCHES, LA 71457-6199
(318) 357-2071
Mailing address
1640 BREAZEALE SPRINGS ST, NATCHITOCHES, LA 71457-4278
(318) 357-2071
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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