NPIMap

Organization Active NPI

Outpatient Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Natchitoches, LA
National Provider Identifier
1154832434
Registry record updated Oct 13, 2017
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
1500 Gold St
Natchitoches, LA 71457-4221
Phone
(318) 352-9299
Fax
(318) 356-9546
NPI assigned
Oct 13, 2017
Organization subpart
Yes
Parent organization
OUTPATIENT MEDICAL CENTER, INC - SCHOOL BASED HEALTH CENTER NATCHITOCHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 13, 2017

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

Authorized official

Name
Angelle Ansardi
Title
HR Coordinator
Phone
(318) 357-2071

Specialties & licenses 1

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

Addresses

Primary practice location

1500 Gold St
Natchitoches, LA 71457-4221

Mailing address

1640 Breazeale Springs St
Natchitoches, LA 71457-4278
Phone (318) 352-9299

National Provider Directory

National Provider Directory
Tax ID family
Community Health Center7 organizations share this tax ID, including this one
Part of
Community Health Center

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507852800000",
    "number": "1154832434",
    "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": "318-352-9299",
            "fax_number": "318-356-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 GOLD ST",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714574221",
            "telephone_number": "318-352-9299",
            "fax_number": "318-356-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTPATIENT MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OUTPATIENT MEDICAL CENTER, INC - SCHOOL BASED HEALTH CENTER NATCHITOCH",
        "enumeration_date": "2017-10-13",
        "last_updated": "2017-10-13",
        "status": "A",
        "authorized_official_last_name": "ANSARDI",
        "authorized_official_first_name": "ANGELLE",
        "authorized_official_title_or_position": "HR COORDINATOR",
        "authorized_official_telephone_number": "318-357-2071"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 13, 2017; 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.