NPIMap

Organization Active NPI

North Caddo Medical Center

Doing business as Oil City Medical

  • Rural Health Clinic/Center
  • Oil City, LA
National Provider Identifier
1144063264
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
NORTH CADDO MEDICAL CENTER
Doing business as
Oil City Medical
Practice address
103 La-1
Oil City, LA 71061
Phone
(318) 375-4008
NPI assigned
Jun 17, 2024
Last updated
May 7, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH CADDO HOSPITAL SERVICE DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Authorized official

Name
David Jones
Title
Ceo
Phone
(318) 375-4008

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Primary Care Clinic/Center 261QP2300X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

103 La-1
Oil City, LA 71061

Mailing address

PO Box 792
Vivian, LA 71082-0792

Other names 1

  • Oil City Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20241210003582 LA Part B Supplier - Clinic/Group Practice 5991231292 Receives reassigned benefits from 9 practitioners
Practice locations: Oil City, LA
O20250603001909 LA Part A Provider - Rural Health Clinic 5991231292 Practice locations: Oil City, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144063264. Details of each certification follow.

Rural health clinic certification: CCN 198559

Legal name
NORTH CADDO MEDICAL CENTER
Doing business as
OIL CITY MEDICAL
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 23, 2025
Last certification
Dec 23, 2025
Ownership / control type
Non-profit – church related
Organization structure
GovernmentNon-profit
Enrollment address
103 Hwy 1 S
Oil City, LA 71061-3189
Related CCNs
191304

Facilities connected through Provider of Services related, parent or unit certification numbers.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2317857Oil City Medical103 La-1, Oil City, LA 71061RegistrationJan 31, 2027

National Provider Directory

National Provider Directory
Part of
North Caddo Memorial Ho

Locations

103 Highway 1 S
Oil City, LA 71061
Phone (318) 375-4008

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/440a8ebc-db01-474a-8d18-2ca626c92c6c/

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Dakota Robinson Individual Corporate OfficerCfo Oct 28, 2018
W-2 Managing Employee Oct 28, 2018
Thomas Tebbe Individual OtherBoard Member Feb 1, 2024
Robert Green Individual OtherBoard Member Sep 6, 2001
Michael Nation Individual OtherBoard Member Aug 5, 2021
Jennifer Fant Individual Corporate OfficerVice Chair Person Jan 1, 2025
OtherVice Chair Person Jun 7, 2022
North Caddo Medical Center Organization, Vivian, LA Medical provider/supplier Other Sep 1, 2024 100%
David Jones Individual Corporate OfficerCeo Oct 5, 2025
W-2 Managing Employee Oct 5, 2025
Brenda Smith Individual OtherBoard Member Sep 9, 2001
Kenneth Cochran Individual Corporate OfficerChairman Jan 1, 2025
OtherChairman Jul 19, 2018
David Norman Individual OtherBoard Member Aug 20, 2009
Mary Irvin Individual OtherBoard Member Sep 6, 2001

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1144063264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 792",
            "city": "VIVIAN",
            "state": "LA",
            "postal_code": "710820792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 LA-1",
            "city": "OIL CITY",
            "state": "LA",
            "postal_code": "71061",
            "telephone_number": "318-375-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CADDO MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH CADDO HOSPITAL SERVICE DISTRICT",
        "enumeration_date": "2024-06-17",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-375-4008"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oil City Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oil City, LA

Sources for this page

Verify at the official NPI Registry.