Organization
NRMC WALK-IN CLINIC VENTURES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM BRADFORD MCCORMICK (CFO)
(318) 214-4350
Entity
Organization
Contact information
Practice address
740 KEYSER AVE, SUITE E, NATCHITOCHES, LA 71457-6037
(318) 238-5300
(318) 238-5301
Mailing address
PO BOX 2475, NATCHITOCHES, LA 71457-2475
(318) 238-5300
(318) 238-5301
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
000000
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2418297
—
LA
05
—
2489445
—
LA
Enumeration date
04/24/2015
Last updated
06/26/2020
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