NPIMap

Organization Active NPI

Outpatient Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Natchitoches, LA
National Provider Identifier
1013551100
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
OUTPATIENT MEDICAL CENTER, INC.
Practice address
520 Saint Maurice LN
Natchitoches, LA 71457-6199
Phone
(318) 357-2071
NPI assigned
Oct 31, 2019
Last updated
Oct 31, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
OUTPATIENT MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carl Isiah Walters II
Title
Ceo
Phone
(318) 357-2055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

520 Saint Maurice LN
Natchitoches, LA 71457-6199

Mailing address

1640 Breazeale Springs St
Natchitoches, LA 71457-4278
Phone (318) 357-2071

Other names 1

  • SBHC- Weaver Elementary Other name

National Provider Directory

National Provider Directory
Tax ID family
N O M C7 organizations share this tax ID, including this one
Part of
N O M C

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

520 Saint Maurice Ln
Natchitoches, LA 71457
Phone (318) 357-2071

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1013551100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 BREAZEALE SPRINGS ST",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714574278",
            "telephone_number": "318-357-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SAINT MAURICE LN",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576199",
            "telephone_number": "318-357-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTPATIENT MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OUTPATIENT MEDICAL CENTER, INC.",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "ISIAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-357-2055",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SBHC- Weaver Elementary",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Natchitoches, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.