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Organization

OUTPATIENT MEDICAL CENTER, INC.

Active
Parent organization
OUTPATIENT MEDICAL CENTER, INC - SCHOOL BASED HEALTH CENTER NATCHITOCH
Organization subpart
Yes

Provider details

NPI number
Legal business name
OUTPATIENT MEDICAL CENTER, INC - SCHOOL BASED HEALTH CENTER NATCHITOCH
Authorized official
ANGELLE ANSARDI (HR COORDINATOR)
(318) 357-2071
Entity
Organization

Contact information

Practice address
1500 GOLD ST, NATCHITOCHES, LA 71457-4221
(318) 352-9299
(318) 356-9546
Mailing address
1640 BREAZEALE SPRINGS ST, NATCHITOCHES, LA 71457-4278
(318) 352-9299
(318) 356-9546

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
10/13/2017
Last updated
10/13/2017
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