| Ncmc Medical And Surgical Clinic | |
|
815 S Pine St Vivian LA 71082-3353 | |
| (318) 375-4007 | |
| Not Available |
| Full Name | Ncmc Medical And Surgical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 815 S Pine St, Vivian, Louisiana |
| Authorized Official Name and Position | Dakota Robinson (CFO) |
| Authorized Official Contact | 3183754097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ncmc Medical And Surgical Clinic 815 S Pine St Vivian LA 71082-3353 Ph: (318) 375-4007 | Ncmc Medical And Surgical Clinic 815 S Pine St Vivian LA 71082-3353 Ph: (318) 375-4007 |
| NPI Number | 1003310756 |
|---|---|
| Provider Enumeration Date | 03/19/2018 |
| Last Update Date | 05/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003310756 | NPI | - | NPPES |
| 1038130 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Ncmc Medical & Surgical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 S Pine St, Vivian, LA 71082 Phone: 318-375-3239 Fax: 318-375-2755 | |
Medical & Surgical Clinic A Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1003 South Spruce St, Vivian, LA 71082 Phone: 318-375-3239 Fax: 318-375-2755 |