Outpatient Medical Center, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

OUTPATIENT MEDICAL CENTER, INC.

Practice address

1001 E 5TH St
Natchitoches, LA 71457-5203

Phone

(318) 352-4516

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

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

Addresses

Other names 1

• SBHC- East Natchitoches Elementary Other name

Tax ID family

Natchitoches Outpatient7 organizations share this tax ID, including this one

Part of

Natchitoches Outpatient

Other organizations with this tax ID 6

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

• Outpatient Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Natchitoches, LA
  • NPI 1013551100
  NPD tax ID
• Outpatient Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Natchitoches, LA
  • NPI 1154832434
  NPD tax ID
• Outpatient Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Leesville, LA
  • NPI 1285664508
  NPD tax ID
• Outpatient Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Natchitoches, LA
  • NPI 1457753709
  NPD tax ID
• Outpatient Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Natchitoches, LA
  • NPI 1578107769
  NPD tax ID
• Outpatient Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Natchitoches, LA
  • NPI 1811810658
  NPD tax ID

Locations

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": "1750925947",
    "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": "1001 E 5TH ST",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575203",
            "telephone_number": "318-352-4516"
        }
    ],
    "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SBHC- East Natchitoches Elementary",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Otis R. Barnum ,D.O. (Natchitoches Internal Medicine)
• Outpatient Medical Center, Inc.
• Outpatient Medical Center, Inc.
• Outpatient Medical Center, Inc.
• Outpatient Medical Center, Inc.
• Outpatient Medical Center, Inc.
• Outpatient Medical Center, Inc.
• Jennifer Irene Page
• Amanda Parker, L.O.T.R.
• Cynthia Parker, HEALTH EDUCATOR

• Federally Qualified Health Center (FQHC) in Natchitoches, LA
• Providers in Natchitoches, LA by specialty
• Federally Qualified Health Center (FQHC) in Louisiana

• 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.