Organization · Type 2 NPI
Outpatient Medical Center, Inc.
Federally Qualified Health Center (FQHC) · Leesville, LA
NPI number
1285664508
Active
Practice location
908 S 10th St Ste B
Leesville, LA 71446
Fax (337) 239-2225
Mailing address
1640 Breazeale Springs St
Natchitoches, LA 71457-4278
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | None listed |
| Family Medicine Physician | 207Q00000X | None listed |
| Internal Medicine Physician | 207R00000X | None listed |
| Pediatrics Physician | 208000000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
| Nurse Practitioner | 363L00000X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
Other federally qualified health center (fqhc) providers in Leesville
About NPI 1285664508
Outpatient Medical Center, Inc.'s National Provider Identifier is 1285664508, issued on Jul 3, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Leesville, LA. The record was last updated on Aug 29, 2018.