MEDICARE: WEST CARROLL PARISH SCHOOL BOARD

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
1	261QS1000X	Student Health Clinic/Center

Other Identifiers

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

General Provider Information

NPI Number	:	1386823037
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST CARROLL PARISH SCHOOL BOARD

Provider Business Mailing Address
First Line	:	314 E MAIN ST
Second Line	:
City	:	OAK GROVE
State	:	LA
Zip	:	71263-2540
Country	:	US
Telephone Number	:	318-428-2378
Fax Number	:

Provider Business Practice Location Address
First Line	:	314 E MAIN ST
Second Line	:
City	:	OAK GROVE
State	:	LA
Zip	:	71263-2540
Country	:	US
Telephone Number	:	318-428-2378
Fax Number	:

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	JERRY L DOSHER
Credential	:
Telephone Number	:	318-428-2378

Provider Enumeration Date	:	10/30/2007
Last Update Date	:	10/30/2007

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Directions to “WEST CARROLL PARISH SCHOOL BOARD ” Practice Location

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