| Outpatient Medical Center, Inc. | |
|
908 S 10th St Ste B Leesville LA 71446 | |
| (337) 238-1274 | |
| (337) 239-2225 |
| Full Name | Outpatient Medical Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 908 S 10th St Ste B, Leesville, Louisiana |
| Authorized Official Name and Position | Carl Isiah Walters (CEO) |
| Authorized Official Contact | 3183572055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Outpatient Medical Center, Inc. 1640 Breazeale Springs St Natchitoches LA 71457-4278 Ph: (318) 352-9299 | Outpatient Medical Center, Inc. 908 S 10th St Ste B Leesville LA 71446 Ph: (337) 238-1274 |
| NPI Number | 1285664508 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 08/29/2018 |
| Medicare PECOS PAC ID | 5597651794 |
|---|---|
| Medicare Enrollment ID | O20101227000127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285664508 | NPI | - | NPPES |
| 1941026 | Medicaid | LA |
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