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NPI Code Detail

MEDICARE: NORTH CADDO HOSPITAL SERVICE DISTRICT

MEDICARE: NORTH CADDO HOSPITAL SERVICE DISTRICT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2261QR1300XRural Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013181866
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH CADDO HOSPITAL SERVICE DISTRICT
Provider Business Mailing Address
First Line : PO BOX 792
Second Line :
City : VIVIAN
State : LA
Zip : 71082-0792
Country : US
Telephone Number : 318-375-3239
Fax Number : 318-375-2755
Provider Business Practice Location Address
First Line : 815 S PINE ST
Second Line :
City : VIVIAN
State : LA
Zip : 71082-3314
Country : US
Telephone Number : 318-375-3239
Fax Number : 318-375-2755
Authorized Official
Title or Position : CFO
Name : MR. DAKOTA ROBINSON
Credential :
Telephone Number : 318-375-4097
Provider Enumeration Date : 04/14/2008
Last Update Date : 07/25/2023

Similar Medicare Providers

1326016684 — NORTH CADDO HOSPITAL SERVICE DISTRICT
Practice Location Address:
815 S PINE ST
VIVIAN, LA
71082-3314
Practice Phone: 318-375-3235
Practice Fax: 318-375-5938
1417124959 — NORTH CADDO HOSPITAL SERVICE DISTRICT
Practice Location Address:
815 S PINE ST
VIVIAN, LA
71082-3314
Practice Phone: 318-375-3235
Practice Fax: 318-375-5938
1962679407 — NORTH CADDO HOSPITAL SERVICE DISTRICT
Practice Location Address:
815 S PINE ST
VIVIAN, LA
71082-3314
Practice Phone: 318-375-3235
Practice Fax: 318-375-5938
1235708702 — VIVIAN DENTAL
Practice Location Address:
815 S PINE ST
VIVIAN, LA
71082-3314
Practice Phone: 318-375-4001
Practice Fax:
1598420788 — DR. CRISTIN DENISE JACKSON DMD
Practice Location Address:
815 S PINE ST
VIVIAN, LA
71082-3314
Practice Phone: 318-375-3235
Practice Fax:
1356308860 — NEXION HEALTH AT VIVIAN, INC.
Practice Location Address:
912 S PECAN ST
VIVIAN, LA
71082-3350
Practice Phone: 318-375-2203
Practice Fax: 318-375-2866

Directions to “NORTH CADDO HOSPITAL SERVICE DISTRICT ” Practice Location

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