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OUTPATIENT MEDICAL CENTER, INC.
NPI 1750311064
Clinic/Center - Federally Qualified Health Center (FQHC) in Tallulah, LA

Active since July 03, 2006CLIA 19D0464485 · Waiver
804 N BEECH ST, TALLULAH, LA 71282(318) 574-1453(318) 574-5876 Get Directions Write a Review

NPPES record last updated: August 29, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Outpatient Medical Center, Inc. NPPES

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

OUTPATIENT MEDICAL CENTER, INC. (NPI 1750311064) is a healthcare organization registered as a federally qualified health center (fqhc) in Tallulah, Louisiana and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Carl Isiah Walters, Ceo, as its authorized official.

NPPES Registry Identity

NPI1750311064
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameOUTPATIENT MEDICAL CENTER, INC.
Location Address804 N BEECH STTallulah, LA 71282
Mailing Address1640 Breazeale Springs StNatchitoches, LA 71457-4278 · (318) 352-9299 · Fax (318) 352-0203
Phone(318) 574-1453
Fax(318) 574-5876
Organization SubpartNo
Authorized OfficialCarl Isiah WaltersCeo · (318) 357-2055
Enumeration DateJuly 3, 2006
Last NPPES UpdateAugust 29, 2018
✔ NPI 1750311064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedDentistTaxonomy 122300000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedNurse PractitionerTaxonomy 363L00000X
804 N BEECH ST, Tallulah, LA 71282
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Other Identifiers 1

Medicaid1941042LA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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 Waiver 19D0464485

Outpatient Medical Center Inc At Tallulah · Tallulah, LA
Active · expires Dec 22, 2027
CLIA Number19D0464485
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorHarlan Mark Guidry
Laboratory Phone(800) 308-7566
Laboratory LocationOutpatient Medical Center Inc At Tallulah804 Beech Street, Tallulah, LA 71282
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

KATHY G CORBIN CFNP
Nurse Practitioner (Family)
804 N BEECH ST
TALLULAH, LA 71282
Madison Parish (318) 238-1274
DR. RONALD C. WYCHE M.D.
Family Medicine
804 N BEECH ST
TALLULAH, LA 71282
Madison Parish (318) 574-1453
DON C WILLIAMS D.M.D.
Dentist
804 N BEECH ST
TALLULAH, LA 71282
Madison Parish (318) 574-5314
KARRAH CLARK APRN
Nurse Practitioner (Pediatrics)
804 N BEECH ST
TALLULAH, LA 71282
Madison Parish (318) 574-1453
TORI LYNETTE WALKER FNP-C
Nurse Practitioner (Family)
804 N BEECH ST
TALLULAH, LA 71282
Madison Parish (318) 574-5314

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 Outpatient Medical Center, Inc.'s NPI number?

The NPI number for Outpatient Medical Center, Inc. is 1750311064. It was assigned to this organization in the NPPES registry on July 3, 2006.

Where is Outpatient Medical Center, Inc. located?

Outpatient Medical Center, Inc. is located at 804 N Beech St, Tallulah, LA 71282. The listed phone number is (318) 574-1453.

What is Outpatient Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Outpatient Medical Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D0464485) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Outpatient Medical Center, Inc. accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 4 other insurers list Outpatient Medical Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Outpatient Medical Center, Inc. was last updated on August 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.