NORTH CADDO MEDICAL CENTER HEALTHPLEX (NPI# 1124155411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124155411 |
| Entity Type | Organization |
| Organization Name | NORTH CADDO MEDICAL CENTER HEALTHPLEX |
| Practice Address |
102 Industrial Drive Vivian LA 71082 |
| Mailing Address |
102 Industrial Drive P.o. Box 952 Vivian LA 71082 |
| Practice Telephone | 3183752808 |
| Practice Fax Number | 3183755032 |
| Mailing Telephone | 3183752808 |
| Mailing Fax Number | 3183755032 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DAVID JONES (ADMINISTRATOR) |
| Authorized Official Telephone | 3183753235 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | 210A | LA | Agencies |
| Street Address |
102 INDUSTRIAL DRIVE |
| City | VIVIAN |
| State | LA |
| Zip Code | 71082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295207801 | Terrence Quarles | Counselor | 200 West Louisiana Ave, Vivian, LA 71082 | 2018-12-20 |
| 1083158877 | Lenorris Rainey | Counselor | 301 Edward Drive, Vivian, LA 71082 | 2016-12-13 |
| 1720213614 | Constance La'shay Hall | Occupational Therapy Assistant | 912 South Pecan St, Vivian Healthcare Center, Vivian, LA 71082 | 2009-05-20 |
| 1023493160 | Catherine Sharpe | Family Medicine | 815 S Pine St, Vivian, LA 71082 | 2015-07-29 |
| 1699286138 | Natarran C Evans | Counselor | 830 Nw Front St, Vivian, LA 71082-2312 | 2017-10-23 |
| 1447614532 | Lauretta Montgomery | Counselor | 904 Mississippi Cir, Vivian, LA 71082-2552 | 2016-04-05 |
| 1194882829 | James R Mccormick | Dentist | 117 N Pine St, Vivian, LA 71082-2743 | 2007-01-02 |
| 1225542178 | Wright Way Behavioral Health Center | Community/Behavioral Health | 220 W Louisiana Ave, Vivian, LA 71082-2820 | 2017-11-29 |
| 1689200255 | Richida Shepard | Social Worker | 220 W Louisiana Ave, Vivian, LA 71082-2820 | 2020-03-16 |
| 1992278535 | Shantrece Cole | Counselor | 220 W Louisiana Ave, Vivian, LA 71082-2820 | 2019-01-07 |
| Find all providers in zip 71082 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699383380 | Let Me Care2 LLC | Public Health or Welfare | 4220 Lac Couture Dr Apt C, Harvey, LA 70058-6537 | 2020-07-19 |
| 1063907970 | James Mcneely IIi | Public Health or Welfare | 5922 Alaska Ln, Shreveport, LA 71107 | 2018-06-25 |
| 1881188530 | Kelly Patricia Leuck | Public Health or Welfare | 1042 Cressmont St, Bossier City, LA 71111-5759 | 2018-06-17 |
| 1013437870 | Kelly Dennis Smith | Public Health or Welfare | 211 Oakmont Dr, New Orleans, LA 70128-3624 | 2017-06-22 |
| 1063956845 | Ready Responders Inc | Public Health or Welfare | 4035 Washington Ave, New Orleans, LA 70125-2935 | 2016-12-13 |
| 1578955720 | Brighter Vision | Public Health or Welfare | 185 Eddie Robinson Sr Dr, Baton Rouge, LA 70802-4741 | 2015-02-25 |
| 1427456045 | Busby Holdings LLC | Public Health or Welfare | 815 Sedona Pines Dr, Baton Rouge, LA 70816-5548 | 2014-12-12 |
| 1154736064 | Cvs | Public Health or Welfare | 7004 Youree Drive, Shreveport, LA 71005 | 2014-06-30 |
| 1194165654 | La Department of Health and Hospitals | Public Health or Welfare | 628 N. Fourth Street, Bin 3, Baton Rouge, LA 70802 | 2013-06-28 |
| 1841552726 | Washington Parish Health Unit/franklinton | Public Health or Welfare | 120 11th Ave, Franklinton, LA 70438-1161 | 2012-06-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.