NPI 1124155411

North Caddo Medical Center Healthplex

Organisation Public Health or Welfare Agency Vivian, LA

Practice location

Address: 102 Industrial Drive, Vivian, LA 71082
Phone: (318) 375-2808
Fax: (318) 375-5032
Mailing address: 102 Industrial Drive P.O. Box 952, Vivian, LA 71082

Authorised official

Name: David Jones
Title: Administrator
Phone: (318) 375-3235

Registered specialties

Public Health or Welfare Agency Primary

Agencies Taxonomy 251K00000X Licence 210A (LA)

Other Public Health or Welfare providers in Louisiana →

Registry record

NPI: 1124155411
Entity type: Organization
NPI issued: 27 Feb 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.