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Organization

NATCHITOCHES PEDIATRIC ASSOCIATES

Active
Parent organization
NATCHITOCHES REGIONAL MEDICAL CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
NATCHITOCHES REGIONAL MEDICAL CENTER
Authorized official
MR. WILLAIM B MCCORMICK (CFO)
(318) 214-4350
Entity
Organization

Contact information

Practice address
617 BIENVILLE ST, NATCHITOCHES, LA 71457-5730
(318) 214-3663
(318) 214-3665
Mailing address
PO BOX 2475, NATCHITOCHES, LA 71457-2475
(318) 663-6131

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.205867
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2321081
LA
Enumeration date
07/30/2013
Last updated
06/26/2020
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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