OUTPATIENT MEDICAL CENTER, INC. (NPI# 1154832434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154832434 |
| Entity Type | Organization |
| Organization Name | OUTPATIENT MEDICAL CENTER, INC. |
| Practice Address |
1500 Gold St Natchitoches LA 71457-4221 |
| Mailing Address |
1640 Breazeale Springs St Natchitoches LA 71457-4278 |
| Practice Telephone | 3183529299 |
| Practice Fax Number | 3183569546 |
| Mailing Telephone | 3183529299 |
| Mailing Fax Number | 3183569546 |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2017-10-13 |
| Authorized Official Name | ANGELLE ANSARDI (HR COORDINATOR) |
| Authorized Official Telephone | 3183572071 |
| Is Organization Subpart | Y |
| Parent Organization Name | OUTPATIENT MEDICAL CENTER, INC - SCHOOL BASED HEALTH CENTER NATC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107769 | Outpatient Medical Center, Inc. | Clinic/Center | 1621 Welch St, Natchitoches, LA 71457-4264 | 2019-10-31 |
| 1013551100 | Outpatient Medical Center, Inc. | Clinic/Center | 520 Saint Maurice Ln, Natchitoches, LA 71457-6199 | 2019-10-31 |
| 1457753709 | Outpatient Medical Center, Inc. | Clinic/Center | 800 Koonce St, Natchitoches, LA 71457-3416 | 2014-09-18 |
| 1285664508 | Outpatient Medical Center, Inc. | Dentist | 908 S 10th St Ste B, Leesville, LA 71446 | 2006-07-03 |
| 1750925947 | Outpatient Medical Center, Inc. | Clinic/Center | 1001 E 5th St, Natchitoches, LA 71457-5203 | 2019-10-31 |
| 1871523266 | Outpatient Medical Center, Inc. | Dentist | 1640 Breazeale Springs St, Natchitoches, LA 71457 | 2006-07-03 |
| 1750311064 | Outpatient Medical Center, Inc. | Dentist | 804 N Beech St, Tallulah, LA 71282 | 2006-07-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OUTPATIENT MEDICAL CENTER, INC. | 1640 Breazeale Springs St, Natchitoches, LA 71457-4278 |
| Street Address |
1500 GOLD ST |
| City | NATCHITOCHES |
| State | LA |
| Zip Code | 71457-4221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023287091 | Jamie T Methvin | Occupational Therapist | 1500 Gold St, Natchitoches, LA 71457-4221 | 2008-02-25 |
| 1437328333 | Elizabeth M Edens | Physical Therapist | 1500 Gold St, Natchitoches, LA 71457-4221 | 2008-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427615848 | Special Crawford | Case Manager/Care Coordinator | 419 Wasington Ave, Mansfield, LA 71457 | 2019-05-21 |
| 1497232748 | Hand In Hand Hospice Care LLC | Hospice Care, Community Based | 135 East 5th Street, Natchitoches, LA 71457 | 2018-07-19 |
| 1851809214 | Latoya M Gray | Counselor | 132 Kelly St, Natchitoches, LA 71457 | 2018-01-18 |
| 1467968024 | Amanda K Cully | Case Manager/Care Coordinator | 200 Rapides Dr Ste A, Natchitoches, LA 71457 | 2017-12-19 |
| 1972021749 | Jessica Smith | Case Manager/Care Coordinator | 325 South Drive, Natchitoches, LA 71457 | 2017-08-31 |
| 1689190720 | Chartia Hurt | Counselor | 430 Dixie Plaza, Natchitoches, LA 71457 | 2017-08-21 |
| 1902331556 | Daima Atinkah | Specialist/Technologist | 468 Caspari Drive, Natchitoches, LA 71457 | 2017-04-20 |
| 1548794969 | Stephanie Sowell | Counselor | 120 Laird Fletcher Rd, Natchitoches, LA 71457 | 2017-04-12 |
| 1538692579 | Cynthia Harmon | Counselor | 1025 Hill Ave, Natchitoches, LA 71457 | 2017-04-06 |
| 1104365097 | Justin Dewayne Evans I | Counselor | 820 Gentry Davis, Natchitoches, LA 71457 | 2017-02-13 |
| Find all providers in zip 71457 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107769 | Outpatient Medical Center, Inc. | Clinic/Center | 1621 Welch St, Natchitoches, LA 71457-4264 | 2019-10-31 |
| 1013551100 | Outpatient Medical Center, Inc. | Clinic/Center | 520 Saint Maurice Ln, Natchitoches, LA 71457-6199 | 2019-10-31 |
| 1457753709 | Outpatient Medical Center, Inc. | Clinic/Center | 800 Koonce St, Natchitoches, LA 71457-3416 | 2014-09-18 |
| 1750925947 | Outpatient Medical Center, Inc. | Clinic/Center | 1001 E 5th St, Natchitoches, LA 71457-5203 | 2019-10-31 |
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| 1528673308 | Marillac Community Health Centers | Clinic/Center | 5800 Saint Roch Ave, New Orleans, LA 70122-5336 | 2020-09-09 |
| 1013522879 | Marillac Community Health Centers | Clinic/Center | 1423 Saint Philip St, New Orleans, LA 70116-2933 | 2020-09-09 |
| 1669086690 | Marillac Community Health Centers | Clinic/Center | 1908 Short St, Kenner, LA 70062-7550 | 2020-09-08 |
| 1023629425 | Winn Community Health Center, Inc. | Clinic/Center | 2200 N Bolton Ave, Alexandria, LA 71303-4407 | 2020-08-11 |
| 1467061515 | Council for Advancement of Social Service and Education | Clinic/Center | 1560 Irving Place, Shreveport, LA 71101-4604 | 2020-07-24 |
| Find all providers with the same taxonomy | ||||
| City | NATCHITOCHES |
| Zip Code | 71457 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.