WEST CARROLL HEALTH SYSTEMS LLC (NPI# 1780667766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780667766 |
| Entity Type | Organization |
| Organization Name | WEST CARROLL HEALTH SYSTEMS LLC |
| Other Organization Name | WEST CARROLL MEDICAL CLINIC |
| Practice Address |
502 Ross St Oak Grove LA 71263-9706 |
| Mailing Address |
706 Ross St Oak Grove LA 71263-9798 |
| Practice Telephone | 3184282358 |
| Practice Fax Number | 3184282350 |
| Mailing Telephone | 3184282358 |
| Mailing Fax Number | 3184282350 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DEWANA LITTLE (ADMINISTRATOR) |
| Authorized Official Telephone | 3184283237 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1943941 | 05 |
| Other Name | Type Code |
|---|---|
| West Carroll Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003894395 | West Carroll Health Systems LLC | Clinic/Center | 200 S Main Street, Eudora, AR 71640 | 2006-01-06 |
| 1902889892 | West Carroll Health Systems LLC | Clinic/Center | 76 Hood St, Lake Providence, LA 71254-2662 | 2005-11-23 |
| 1851374748 | West Carroll Health Systems LLC | Clinic/Center | 319 N Hood St, Lake Providence, LA 71254-2141 | 2005-11-23 |
| 1366425308 | West Carroll Health Systems LLC | Clinic/Center | 708 E Main St, Oak Grove, LA 71263-2500 | 2005-11-23 |
| 1356324362 | West Carroll Health Systems LLC | Clinic/Center | 712 Settoon St, Oak Grove, LA 71263-9707 | 2005-11-23 |
| 1306843826 | West Carroll Health Systems LLC | General Acute Care Hospital | 706 Ross St, Oak Grove, LA 71263-9798 | 2005-06-30 |
| 1710154232 | West Carroll Health Systems LLC | Psychiatric Unit | 706 Ross St, Oak Grove, LA 71263-9798 | 2008-05-14 |
| 1255455390 | West Carroll Health Systems LLC | Medicare Defined Swing Bed Unit | 706 Ross St, Oak Grove, LA 71263-9798 | 2007-03-16 |
| 1386700888 | West Carroll Health Systems LLC | General Acute Care Hospital | 706 Ross St, Oak Grove, LA 71263-9798 | 2006-12-29 |
| Street Address |
502 ROSS ST |
| City | OAK GROVE |
| State | LA |
| Zip Code | 71263-9706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942850284 | Melba West | Technician | Melba West, 9192 Hwy 585, Oak Grove, LA 71263 | 2019-09-18 |
| 1972975225 | Healing Life Health Center LLC | Community/Behavioral Health | 602 South Constitution Avenue, Oak Grove, LA 71263 | 2015-10-27 |
| 1306193701 | Jeremy David Rawls | Chiropractor | 212 N Front St, Oak Grove, LA 71263 | 2012-08-06 |
| 1538358569 | West Carroll Arc | Day Training, Developmentally Disabled Services | 611 West Jefferson, Oak Grove, LA 71263 | 2007-10-16 |
| 1477750842 | West Carroll Arc | Day Training, Developmentally Disabled Services | 611 West Jefferson St, Oak Grove, LA 71263 | 2007-06-29 |
| 1346463767 | Carroll Nursing Home | Durable Medical Equipment & Medical Supplies | 307 N Castleman Street, Oak Grove, LA 71263 | 2007-04-11 |
| 1376670059 | Karla Welch Robertson | Dentist | 414 Ross St., Oak Grove, LA 71263 | 2007-02-28 |
| 1669529111 | Northstar,tlc Inc. | Durable Medical Equipment & Medical Supplies | 212 E. Jefferson, Oakgrove, LA 71263 | 2007-01-05 |
| 1265500490 | Mark Anthony Portacci | Family Medicine | 706 Ross Street, Oak Grove, LA 71263 | 2006-12-04 |
| 1740268739 | Carroll Nursing Home | Nursing Facility/Intermediate Care Facility | 307 N. Castleman St, Oak Grove, LA 71263 | 2006-01-09 |
| Find all providers in zip 71263 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366425308 | West Carroll Health Systems LLC | Clinic/Center | 708 E Main St, Oak Grove, LA 71263-2500 | 2005-11-23 |
| 1356324362 | West Carroll Health Systems LLC | Clinic/Center | 712 Settoon St, Oak Grove, LA 71263-9707 | 2005-11-23 |
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| 1164073524 | Tangi Wellness & Health | Clinic/Center | 906 C M Fagan Dr Ste B3, Hammond, LA 70403-6056 | 2019-09-26 |
| 1679126510 | Pediatric Group of Acadiana, LLC | Clinic/Center | 1307 Crowley Rayne Hwy Ste C, Crowley, LA 70526-8210 | 2019-07-19 |
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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.