NORTH CADDO MEDICAL CENTER HEALTHPLEX
NPI 1124155411
Public Health or Welfare in Vivian, LA

Q: What is North Caddo Medical Center Healthplex's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Active since February 27, 2007CLIA 19D0983441 · Waiver

102 INDUSTRIAL DRIVE, VIVIAN, LA 71082(318) 375-2808(318) 375-5032 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About North Caddo Medical Center Healthplex NPPES

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

NORTH CADDO MEDICAL CENTER HEALTHPLEX (NPI 1124155411) is a healthcare organization registered as a public health or welfare in Vivian, Louisiana and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through February 21, 2027 and lists David Jones, Administrator, as its authorized official.

NPPES Registry Identity

NPI1124155411

Entity TypeOrganization

Primary Taxonomy251K00000X

Legal Business NameNORTH CADDO MEDICAL CENTER HEALTHPLEX

Location Address102 INDUSTRIAL DRIVEVivian, LA 71082

Mailing Address102 Industrial Drive, P.o. Box 952Vivian, LA 71082 · (318) 375-2808 · Fax (318) 375-5032

Phone(318) 375-2808

Fax(318) 375-5032

Organization SubpartNo

Authorized OfficialDavid JonesAdministrator · (318) 375-3235

Enumeration DateFebruary 27, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1124155411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPublic Health or WelfareAgencies

Taxonomy Code251K00000X

License✔ Licensed in LA · 210A

102 INDUSTRIAL DRIVE, Vivian, LA 71082

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CLIA Laboratory Certificates CMS CLIA 2

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 Waiver 19D0983441

North Caddo Medical Health Plex · Vivian, LA

Active · expires Feb 21, 2027

CLIA Number19D0983441

Laboratory TypeCommunity Clinic

Certificate Effective DateFebruary 22, 2025

Certificate Expiration DateFebruary 21, 2027

Laboratory DirectorJohn Woods

Laboratory Phone(318) 375-2808

Laboratory LocationNorth Caddo Medical Health Plex102 Industrial Loop, Vivian, LA 71082

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 19D1094011

North Caddo Medical Center · Vivian, LA

Expired · Oct 20, 2026

CLIA Number19D1094011

Laboratory TypeHospital

Certificate Effective DateOctober 21, 2024

Certificate Expiration DateOctober 20, 2026

Laboratory DirectorChristy M. Coon

Laboratory Phone(318) 375-3235

Laboratory LocationNorth Caddo Medical Center815 South Pine St, Vivian, LA 71082

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Medical Center Healthplex's NPI number?

The NPI number for North Caddo Medical Center Healthplex is 1124155411. It was assigned to this organization in the NPPES registry on February 27, 2007.

Where is North Caddo Medical Center Healthplex located?

North Caddo Medical Center Healthplex is located at 102 Industrial Drive, Vivian, LA 71082. The listed phone number is (318) 375-2808.

What is North Caddo Medical Center Healthplex's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Does North Caddo Medical Center Healthplex hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D0983441) is associated with this NPI, valid through February 21, 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 Medical Center Healthplex was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.