OUTPATIENT MEDICAL CENTER, INC.
NPI 1750311064
Clinic/Center - Federally Qualified Health Center (FQHC) in Tallulah, LA
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
Specialties & Licenses 6
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Outpatient Medical Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Outpatient Medical Center, Inc., which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (14)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, LAFrequently 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.
Is Outpatient Medical Center, Inc. enrolled in Medicare?
Yes. Outpatient Medical Center, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Outpatient Medical Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 4 Medicare specialties reassign their Medicare billing to Outpatient Medical Center, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (10), Clinical Social Worker (2) and Family Practice (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and AmeriHealth Caritas Next and 5 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 8 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.
# Outpatient Medical Center, Inc. · NPI 1750311064
Federally Qualified Health Center (FQHC) organization in Tallulah, Louisiana. Organization record, active in the CMS NPPES registry since July 3, 2006.
## Identity
- **NPI:** 1750311064 (Entity type: Organization)
- **Enumerated:** July 3, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Carl Walters, CEO
## Practice location
- **Address:** 804 N BEECH ST, Tallulah, LA 71282
- **Phone:** (318) 574-1453 · **Fax:** (318) 574-5876
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Clinical Social Worker (2), Family Practice (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 29, 2018
- **Other identifiers:** Medicaid 1941042 (LA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1750311064) · Data from the CMS NPPES public registry.