Outpatient Medical Center, Inc. is a medicare enrolled dental clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Tallulah, Louisiana. The current practice location for Outpatient Medical Center, Inc. is 804 N Beech St, Tallulah, Louisiana. For appointments, you can reach them via phone at
(318) 574-1453. The mailing address for Outpatient Medical Center, Inc. is 1640 Breazeale Springs St, Natchitoches, Louisiana and phone number is (318) 352-9299.
Outpatient Medical Center, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1750311064. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(318) 574-1453.
Dental Care Clinic Profile
| Full Name | Outpatient Medical Center, Inc. |
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| Speciality | Clinic/Center |
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| Location | 804 N Beech St, Tallulah, Louisiana |
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| Authorized Official Name and Position | Carl Isiah Walters (CEO) |
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| Authorized Official Contact | 3183572055 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| 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.
804 N Beech St
Tallulah
LA 71282
Ph: (318) 574-1453 |
NPI Details:
| NPI Number | 1750311064 |
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| Provider Enumeration Date | 07/03/2006 |
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| Last Update Date | 08/29/2018 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 5597651794 |
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| Medicare Enrollment ID | O20040225000257 |
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Medical Identifiers
Medical identifiers for Outpatient Medical Center, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750311064 | NPI | - | NPPES |
| 1941042 | Medicaid | LA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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