Provider Demographics
NPI:1396723730
Name:WEST CARROLL HEALTH SYSTEMS, LLC
Entity type:Organization
Organization Name:WEST CARROLL HEALTH SYSTEMS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-428-3237
Mailing Address - Street 1:706 ROSS ST
Mailing Address - Street 2:
Mailing Address - City:OAK GROVE
Mailing Address - State:LA
Mailing Address - Zip Code:71263-9798
Mailing Address - Country:US
Mailing Address - Phone:318-428-3237
Mailing Address - Fax:318-428-6180
Practice Address - Street 1:110 N FRONT ST
Practice Address - Street 2:
Practice Address - City:OAK GROVE
Practice Address - State:LA
Practice Address - Zip Code:71263-7680
Practice Address - Country:US
Practice Address - Phone:318-428-9604
Practice Address - Fax:318-428-9610
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WEST CARROLL HEALTH SYSTEMS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-01-05
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA190030670ZOtherBLUE CROSS
LA1401358Medicaid
LA190030670ZOtherBLUE CROSS