Organization
WEST CARROLL HEALTH SYSTEMS LLC
Active
Other names
Oak Grove Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DEWANA LITTLE (ADMINISTRATOR)
(318) 428-3237
Entity
Organization
Contact information
Practice address
708 E MAIN ST, OAK GROVE, LA 71263-2500
(318) 428-3200
(318) 428-7896
Mailing address
706 ROSS ST, OAK GROVE, LA 71263-9798
(318) 428-3200
(318) 428-7896
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1943584
—
LA
Enumeration date
11/23/2005
Last updated
12/12/2023
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