Wk Oil City Medical Clinic | |
103 South Hwy 1 Oil City LA 71061 | |
(318) 995-6504 | |
(318) 995-6535 |
Full Name | Wk Oil City Medical Clinic |
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Speciality | Family Medicine |
Location | 103 South Hwy 1, Oil City, Louisiana |
Authorized Official Name and Position | Greg J. Gavin (NETWORK ADMINISTRATOR) |
Authorized Official Contact | 3182124232 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wk Oil City Medical Clinic 103 South Hwy 1 Oil City LA 71061 Ph: (318) 995-6504 | Wk Oil City Medical Clinic 103 South Hwy 1 Oil City LA 71061 Ph: (318) 995-6504 |
NPI Number | 1588877179 |
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Provider Enumeration Date | 05/08/2007 |
Last Update Date | 06/08/2012 |
Medicare PECOS PAC ID | 9537269857 |
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Medicare Enrollment ID | O20070716000045 |
Identifier | Type | State | Issuer |
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1588877179 | NPI | - | NPPES |
1014991 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Karen Walker |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588701288 PECOS PAC ID: 8921107996 Enrollment ID: I20070618000045 |
Provider Name | Heather Gros Walker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033841036 PECOS PAC ID: 3375910052 Enrollment ID: I20221109002291 |
North Caddo Medical Center Dba Oil City Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 La-1, Oil City, LA 71061 Phone: 318-375-4008 |