EAST CARROLL MEDICAL CLINIC
NPI 1902889892
Clinic/Center - Rural Health in Lake Providence, LA

NPI Status: Active since November 23, 2005

Contact Information

76 HOOD ST
LAKE PROVIDENCE, LA
ZIP 71254
Phone: (318) 559-2296
Fax: (318) 559-6652

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  • Organization
  • Clinic/Center
  • Rural Health
  • CLIA Number: 19D0464394
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 02-27-2027

About EAST CARROLL MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for East Carroll Medical Clinic, a primary care provider established in Lake Providence, Louisiana operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1902889892 assigned on November 2005. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as East Carroll Medical Clinic. The authorized official of this NPI record is Dewana Little (Administrator)

NPI
1902889892
Provider Legal Name
WEST CARROLL HEALTH SYSTEMS LLC
Other Organization Name
EAST CARROLL MEDICAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
76 HOOD ST LAKE PROVIDENCE, LA 71254
Location Phone
(318) 559-2296
Location Fax
(318) 559-6652
Mailing Address
706 ROSS ST OAK GROVE, LA 71263
Mailing Phone
(318) 559-2296
Mailing Fax
(318) 559-6652
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-23-2005
Last Update Date
03-11-2008
Code Navigator

A primary care provider (PCP) like East Carroll Medical Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities
License State
LA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DEWANA LITTLE

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(318) 428-3237

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
193450MEDICARE OSCAR/CERTIFICATION (06)LA 
1446530MEDICAID (05)LA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
19D0464394
Facility Type
Hospital
Certificate Effective Date
February 28, 2025
Certificate Expiration Date
February 27, 2027
Laboratory Director
BRIAN L. WILKINSON
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to East Carroll Medical Clinic after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1902889892, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 78. The final step is to find the difference between that total and the next multiple of ten (80 - 78 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 0 + 2 + 1 + 6 + 8 + 1 + 8 + 8 + 1 + 8 + 24 = 78

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 78 is 80. The difference is the calculated check digit.

80 - 78 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1902889892.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Respite Care
76 HOOD ST
LAKE PROVIDENCE, LA 71254

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902889892, enumerated as an "organization" on November 23, 2005.

The provider is located at 76 HOOD ST LAKE PROVIDENCE, LA 71254 and the phone number is (318) 559-2296.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.