Organization
NORTH CADDO HOSPITAL SERVICE DISTRICT
Active
Other names
North Caddo Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID JONES (CEO/ADMINISTRATOR)
(318) 375-3235
Entity
Organization
Contact information
Practice address
815 S PINE ST, VIVIAN, LA 71082-3314
(318) 375-3235
(318) 375-5938
Mailing address
PO BOX 792, VIVIAN, LA 71082-0792
(318) 375-3235
(318) 375-5938
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119810303
—
TX
05
—
1753190
—
LA
01
—
22037783599
STATE LICENSE
LA
Enumeration date
03/10/2006
Last updated
10/13/2023
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