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NCMC MEDICAL & SURGICAL CLINIC
NPI 1013181866
Clinic/Center - Rural Health in Vivian, LA

Active since April 14, 2008CLIA 19D0694058 · Certificate of Compliance
815 S PINE ST, VIVIAN, LA 71082(318) 375-3239(318) 375-2755 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 25, 2023, Jul 18, 2023, Mar 23, 2023 and 4 more (7 updates tracked since 2020).

About Ncmc Medical & Surgical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NCMC MEDICAL & SURGICAL CLINIC (NPI 1013181866) is a healthcare organization registered as a rural health in Vivian, Louisiana and active in the NPI registry since April 2008. The organization holds a CLIA Certificate of Compliance certificate valid through July 19, 2027 and lists Dakota Robinson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1013181866
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameNORTH CADDO HOSPITAL SERVICE DISTRICT
Location Address815 S PINE STVivian, LA 71082-3314
Mailing AddressPo Box 792Vivian, LA 71082-0792 · (318) 375-3239 · Fax (318) 375-2755
Phone(318) 375-3239
Fax(318) 375-2755
Organization SubpartNo
Authorized OfficialDakota RobinsonCfo · (318) 375-4097
Enumeration DateApril 14, 2008
Last NPPES UpdateJuly 25, 20237 updates tracked since enumeration
NPPES CertifiedJuly 25, 2023
✔ NPI 1013181866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
815 S PINE ST, Vivian, LA 71082
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Other Names 1

Doing Business AsNcmc Medical & Surgical Clinic

Other Identifiers 1

Medicaid1038130LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 19D0694058

Ncmc Medical & Surgical · Vivian, LA
Active · expires Jul 19, 2027
CLIA Number19D0694058
Laboratory TypeRural Health Clinic
Certificate Effective DateJuly 20, 2025
Certificate Expiration DateJuly 19, 2027
Laboratory DirectorCharles G. Guest
Laboratory Phone(318) 375-4117
Laboratory LocationNcmc Medical & Surgical815 South Pine Street, Vivian, LA 71082
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTH CADDO HOSPITAL SERVICE DISTRICT
Family Medicine
815 S PINE ST
VIVIAN, LA 71082
Caddo Parish (318) 375-4007
ANDREW WYNN
Emergency Medicine
815 S PINE ST
VIVIAN, LA 71082
Caddo Parish (318) 375-3239
GRANT BREELAND MD
Radiology (Diagnostic Radiology)
815 S PINE ST
VIVIAN, LA 71082
Caddo Parish (318) 375-3235
CHRISTIAN NGUYEN
Emergency Medicine
815 S PINE ST
VIVIAN, LA 71082
Caddo Parish (318) 375-3235
VIVIAN DENTAL
Clinic/Center (Dental)
815 S PINE ST
VIVIAN, LA 71082
Caddo Parish (318) 375-4001
NORTH CADDO HOSPITAL SERVICE DISTRICT
General Acute Care Hospital (Critical Access)
815 S PINE ST
VIVIAN, LA 71082
Caddo Parish (318) 375-3235
COMMUNITY REFERENCE LAB
Clinical Medical Laboratory
815 S PINE ST
VIVIAN, LA 71082
Caddo Parish (318) 375-3235
NORTH CADDO HOSPITAL SERVICE DISTRICT
General Acute Care Hospital (Critical Access)
815 S PINE ST
VIVIAN, LA 71082
Caddo Parish (318) 375-3235

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Caddo Hospital Service District's NPI number?

The NPI number for North Caddo Hospital Service District is 1013181866. It was assigned to this organization in the NPPES registry on April 14, 2008. The provider is doing business as Ncmc Medical & Surgical Clinic.

Where is North Caddo Hospital Service District located?

North Caddo Hospital Service District is located at 815 S Pine St, Vivian, LA 71082. The listed phone number is (318) 375-3239.

What is North Caddo Hospital Service District's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does North Caddo Hospital Service District hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 19D0694058) is associated with this NPI, valid through July 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North Caddo Hospital Service District was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.