WEST CARROLL HEALTH SYSTEMS LLC (NPI# 1902889892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902889892 |
| Entity Type | Organization |
| Organization Name | WEST CARROLL HEALTH SYSTEMS LLC |
| Other Organization Name | EAST CARROLL MEDICAL CLINIC |
| Practice Address |
76 Hood St Lake Providence LA 71254-2662 |
| Mailing Address |
706 Ross St Oak Grove LA 71263-9798 |
| Practice Telephone | 3185592296 |
| Practice Fax Number | 3185596652 |
| Mailing Telephone | 3185592296 |
| Mailing Fax Number | 3185596652 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2008-03-11 |
| 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 |
LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1446530 | 05 |
| Other Name | Type Code |
|---|---|
| East 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 |
| 1780667766 | West Carroll Health Systems LLC | Clinic/Center | 502 Ross St, Oak Grove, LA 71263-9706 | 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 |
76 HOOD ST |
| City | LAKE PROVIDENCE |
| State | LA |
| Zip Code | 71254-2662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235490285 | At Home Adult Daycare | Respite Care | 76 Hood St, Lake Providence, LA 71254-2662 | 2012-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225571821 | Sade' Finley | Counselor | 1700 Lake Street, Lake Providence, LA 71254 | 2016-11-30 |
| 1194176792 | Changing Lives Counseling and Mentoring, LLC | Community/Behavioral Health | 202 Lake St, Lake Providence, LA 71254 | 2016-06-24 |
| 1326494972 | Ingrid Dandrea Lockhart | Counselor | 1700 Lake Road, Lake Providence, LA 71254 | 2016-05-12 |
| 1013183003 | Personal Careall | Hospice Care, Community Based | 3959 Schrock Drive, Lake Providence, LA 71254 | 2008-04-30 |
| 1750310272 | George Fakhre | Internal Medicine | 221 N Hood, Lake Providence, LA 71254 | 2006-06-30 |
| 1194239806 | Shirley Anne Lyons | Counselor | 1700 Lake St, Lake Providence, LA 71254 | 2017-11-17 |
| 1225588700 | Courtney Michelle Wingate | Counselor | 1700 Lake St, Lake Providence, LA 71254 | 2016-10-10 |
| 1649622721 | Keanda Walker | Counselor | 1700 Lake St, Lake Providence, LA 71254 | 2016-07-12 |
| 1346698792 | Tonya Denise Gordon | Counselor | 1700 Lake St, Lake Providence, LA 71254 | 2016-05-26 |
| 1356797971 | Sheila Bell | Counselor | 1700 Lake St, Lake Providence, LA 71254 | 2016-05-12 |
| Find all providers in zip 71254 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851374748 | West Carroll Health Systems LLC | Clinic/Center | 319 N Hood St, Lake Providence, LA 71254-2141 | 2005-11-23 |
| 1902885650 | East Carroll Parish Hospital | Clinic/Center | 320 N Hood St, Lake Providence, LA 71254-2140 | 2006-01-11 |
| 1710966478 | East Carroll Parish Hospital | Clinic/Center | 300 Scarborough St, Lake Providence, LA 71254-3018 | 2006-01-11 |
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| 1679126510 | Pediatric Group of Acadiana, LLC | Clinic/Center | 1307 Crowley Rayne Hwy Ste C, Crowley, LA 70526-8210 | 2019-07-19 |
| Find all providers with the same taxonomy | ||||
| City | LAKE PROVIDENCE |
| Zip Code | 71254 |
Please comment or provide details below to improve the information on WEST CARROLL HEALTH SYSTEMS LLC.
| 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.