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NPI Code Detail

MEDICARE: WEST CARROLL MEMORIAL HOSPITAL

MEDICARE: WEST CARROLL MEMORIAL HOSPITAL
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
13336L0003XLong Term Care Pharmacy
2333600000XPharmacy
33336C0003XCommunity/Retail Pharmacy5244-IRLA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31925758OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1770543464
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEST CARROLL MEMORIAL HOSPITAL
Provider Business Mailing Address
First Line : 706 ROSS ST
Second Line :
City : OAK GROVE
State : LA
Zip : 71263-9798
Country : US
Telephone Number : 318-428-6155
Fax Number : 318-428-6172
Provider Business Practice Location Address
First Line : 706 ROSS ST
Second Line :
City : OAK GROVE
State : LA
Zip : 71263-9798
Country : US
Telephone Number : 318-428-6155
Fax Number : 318-428-6172
Authorized Official
Title or Position : AUTH REP PHARM DIRECTOR
Name : KELLI SCIARA
Credential : RPH
Telephone Number : 318-428-6252
Provider Enumeration Date : 03/25/2006
Last Update Date : 12/12/2023

Similar Medicare Providers

1306843826 — WEST CARROLL HEALTH SYSTEMS LLC
Practice Location Address:
706 ROSS ST
OAK GROVE, LA
71263-9798
Practice Phone: 318-428-3237
Practice Fax: 318-428-6180
1114900099 — WEST CARROLL CARE CENTER INC
Practice Location Address:
706 ROSS ST
OAK GROVE, LA
71263-9798
Practice Phone: 318-428-9612
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1548231269 — PETER F WISNIEWSKI I D.O.
Practice Location Address:
706 ROSS ST
OAK GROVE, LA
71263-9798
Practice Phone: 318-428-3237
Practice Fax: 318-428-1362
1841259264 — NOLI GUINIGUNDO M.D.
Practice Location Address:
706 ROSS ST
OAK GROVE, LA
71263-9798
Practice Phone: 318-428-3237
Practice Fax: 318-428-6180
1134186133 — FAKHRE FAKHRE M.D.
Practice Location Address:
706 ROSS ST
OAK GROVE, LA
71263-9798
Practice Phone: 318-428-3237
Practice Fax: 318-428-6180
1528025525 — ABIODUN O KUKU M.D.
Practice Location Address:
706 ROSS ST
OAK GROVE, LA
71263-9798
Practice Phone: 318-428-3237
Practice Fax: 318-428-6180

Directions to “WEST CARROLL MEMORIAL HOSPITAL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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