Willie Smith
Case Manager/Care Coordinator in Ruston, LA. Individual provider (NPI-1).
NPI number1043745003
StatusActive
Last updated in NPPESMay 14, 2019
Details
- NPI
- 1043745003
- Entity type
- Individual (NPI-1)
- Name
- Willie Smith
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 27, 2017
- Last updated
- May 14, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
775 South BonnrtRuston, LA 71270
Phone 318-254-7050
Mailing address
1204 Oakdale StRuston, LA 71270-5710
Phone 318-394-6019
Is something wrong?
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All 94 Case Manager/Care Coordinator providers in Ruston · All 1,106 providers in Ruston
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