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LAKE PROVIDENCE MEDICAL CLINIC
NPI 1851374748
Clinic/Center - Rural Health in Lake Providence, LA

Active since November 23, 2005CLIA 19D0901787 · Certificate of Compliance
319 N HOOD ST, LAKE PROVIDENCE, LA 71254(318) 559-1221(318) 559-3321 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lake Providence Medical Clinic NPPES

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

LAKE PROVIDENCE MEDICAL CLINIC (NPI 1851374748) is a healthcare organization registered as a rural health in Lake Providence, Louisiana and active in the NPI registry since November 2005. The organization holds a CLIA Certificate of Compliance certificate valid through November 9, 2027 and lists Dewana Little, Administrator, as its authorized official.

NPPES Registry Identity

NPI1851374748
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameWEST CARROLL HEALTH SYSTEMS LLC
Location Address319 N HOOD STLake Providence, LA 71254-2141
Mailing Address706 Ross StOak Grove, LA 71263-9798 · (318) 559-1221 · Fax (318) 559-3321
Phone(318) 559-1221
Fax(318) 559-3321
Organization SubpartNo
Authorized OfficialDewana LittleAdministrator · (318) 428-3237
Enumeration DateNovember 23, 2005
Last NPPES UpdateDecember 12, 2023
NPPES CertifiedDecember 12, 2023
✔ NPI 1851374748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
319 N HOOD ST, Lake Providence, LA 71254
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Other Names 1

Doing Business AsLake Providence Medical Clinic

Other Identifiers 1

Medicaid1944521LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana, UnitedHealthcare.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 Compliance 19D0901787

Lake Providence Medical Clinic · Lake Providence, LA
Active · expires Nov 9, 2027
CLIA Number19D0901787
Laboratory TypePhysician Office
Certificate Effective DateNovember 10, 2025
Certificate Expiration DateNovember 9, 2027
Laboratory DirectorGeorge Fakhre
Laboratory Phone(318) 559-1221
Laboratory LocationLake Providence Medical Clinic319 N Hood Street, Lake Providence, LA 71254
CLIA data matches this NPI record on: Address 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 West Carroll Health Systems LLC's NPI number?

The NPI number for West Carroll Health Systems LLC is 1851374748. It was assigned to this organization in the NPPES registry on November 23, 2005. The provider is doing business as Lake Providence Medical Clinic.

Where is West Carroll Health Systems LLC located?

West Carroll Health Systems LLC is located at 319 N Hood St, Lake Providence, LA 71254. The listed phone number is (318) 559-1221.

What is West Carroll Health Systems LLC's specialty?

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

Does West Carroll Health Systems LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 19D0901787) is associated with this NPI, valid through November 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does West Carroll Health Systems LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list West Carroll Health Systems LLC 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 West Carroll Health Systems LLC was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.