EAST CARROLL MEDICAL CLINIC
NPI 1902885650
Clinic/Center - Rural Health in Lake Providence, LA

Active since January 11, 2006CLIA 19D0927607 · Waiver
340 N HOOD ST, LAKE PROVIDENCE, LA 71254(318) 559-2404(318) 559-1772 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About East Carroll Medical Clinic NPPES

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

EAST CARROLL MEDICAL CLINIC (NPI 1902885650) is a healthcare organization registered as a rural health in Lake Providence, Louisiana and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through August 16, 2027 and lists Lindsay Layton, Clinic & Central Billing Director, as its authorized official.

NPPES Registry Identity

NPI1902885650
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameEAST CARROLL PARISH HOSPITAL
Location Address340 N HOOD STLake Providence, LA 71254-2140
Mailing Address340 N Hood StLake Providence, LA 71254-2140 · (318) 559-2404 · Fax (318) 559-1772
Fax(318) 559-1772
Organization SubpartNo
Authorized OfficialLindsay LaytonClinic & Central Billing Director · (318) 559-3303
Enumeration DateJanuary 11, 2006
Last NPPES UpdateMarch 23, 2022
NPPES CertifiedMarch 23, 2022
NPI 1902885650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
340 N HOOD ST, Lake Providence, LA 71254

Other Names 1

Doing Business AsEast Carroll Medical Clinic

Other Identifiers 1

Medicaid1947873LA

Accepted 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 19D0927607

East Carroll Medical Clinic · Lake Providence, LA
Active · expires Aug 16, 2027
CLIA Number19D0927607
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 17, 2025
Certificate Expiration DateAugust 16, 2027
Laboratory DirectorLlewellyn L. Simon
Laboratory Phone(318) 559-2404
Laboratory LocationEast Carroll Medical Clinic340 N Hood Street, Lake Providence, LA 71254
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Family Medicine
340 N HOOD ST
LAKE PROVIDENCE, LA 71254
Nurse Practitioner (Family)
340 N HOOD ST
LAKE PROVIDENCE, LA 71254

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 East Carroll Parish Hospital's NPI number?

The NPI number for East Carroll Parish Hospital is 1902885650. It was assigned to this organization in the NPPES registry on January 11, 2006. The provider is doing business as East Carroll Medical Clinic.

Where is East Carroll Parish Hospital located?

East Carroll Parish Hospital is located at 340 N Hood St, Lake Providence, LA 71254. The listed phone number is (318) 559-2404.

What is East Carroll Parish Hospital's specialty?

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

Does East Carroll Parish Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D0927607) is associated with this NPI, valid through August 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does East Carroll Parish Hospital 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 1 other insurer list East Carroll Parish Hospital 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 East Carroll Parish Hospital was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.