NCMC MEDICAL AND SURGICAL CLINIC – NPI #1003310756
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

NCMC MEDICAL AND SURGICAL CLINIC is a provider located in VIVIAN, LA. NPPES has assigned the NPI number 1003310756 to NCMC MEDICAL AND SURGICAL CLINIC on March 19, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NCMC MEDICAL AND SURGICAL CLINIC” is a dba name, the actual legal business name for this organization is NORTH CADDO HOSPITAL SERVICE DISTRICT. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on May 13, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NCMC MEDICAL AND SURGICAL CLINIC below.

NPI Profile for
NORTH CADDO HOSPITAL SERVICE DISTRICT

NPI Number
1003310756
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTH CADDO HOSPITAL SERVICE DISTRICT
Doing Business As (dba): NCMC MEDICAL AND SURGICAL CLINIC
Primary location
815 S PINE ST
VIVIAN, LA 71082-3353
Phone: (318) 375-4007 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - NCMC MEDICAL AND SURGICAL CLINIC is subpart of another organization.
Authorized Official
DAKOTA ROBINSON
CFO
Phone: (318) 375-4097
Updated
Certification Date
May 13, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for NCMC MEDICAL AND SURGICAL CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDLA1038130
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.