West Carroll Health Systems LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

WEST CARROLL HEALTH SYSTEMS LLC

Doing business as

East Carroll Medical Clinic

Practice address

76 Hood St
Lake Providence, LA 71254-2662

Phone

(318) 559-2296

Fax

(318) 559-6652

NPI assigned

Nov 23, 2005

Organization subpart

No

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

Authorized official

Name

Dewana Little

Title

Administrator

Phone

(318) 428-3237

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• East Carroll Medical Clinic Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• West Carroll Health Systems LLC

  • Rural Health Clinic/Center
  • Oak Grove, LA
  • NPI 1356324362

  Member Of

  NPD member

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1902889892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 ROSS ST",
            "city": "OAK GROVE",
            "state": "LA",
            "postal_code": "712639798",
            "telephone_number": "318-559-2296",
            "fax_number": "318-559-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 HOOD ST",
            "city": "LAKE PROVIDENCE",
            "state": "LA",
            "postal_code": "712542662",
            "telephone_number": "318-559-2296",
            "fax_number": "318-559-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CARROLL HEALTH SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "DEWANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-428-3237"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1446530",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Carroll Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Sharane Vaughn, BA
• Keanda Walker
• Erica Powell Watson, PMHNP-BC
• Lashandra Wells, M.ED
• West Carroll Health Systems LLC
• Larrimi Shae Williams
• Courtney Michelle Wingate

• Rural Health Clinic/Center in Lake Providence, LA
• Providers in Lake Providence, LA by specialty
• Rural Health Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.