Organization
OUTPATIENT MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA JOHNSON (CEO)
(318) 357-2055
Entity
Organization
Contact information
Practice address
800 KOONCE ST, NATCHITOCHES, LA 71457-3416
(800) 268-5872
(318) 214-0065
Mailing address
1640 BREAZEALE SPRINGS ST, NATCHITOCHES, LA 71457-4278
(800) 268-5872
(318) 356-9546
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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