All Age Medical P.C., Inc.

LBN: All Age Medical P.C., Inc.
All Age Medical P.C., Inc. is an health care organization with primary practice located at 2910 Shed Rd Suite B, Bossier City LA 71111-3154. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. All Age Medical P.C., Inc. can be contacted via phone (318) 741-8100, or through Blake-Mcmahon, Andrea Natalie via phone (318) 741-8100.

Contact Information

Primary practice address
2910 Shed Rd Suite B Bossier City LA 71111-3154
Phone: (318) 741-8100
Fax: (318) 741-5700
Website:
Map and Directions
Authorized official contact:
Name: Blake-Mcmahon, Andrea Natalie Doctor of Medicine (MD)
Phone: (318) 741-8100

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 14851R Louisiana

Profile Details

NPI number 1548440811
LBN Legal business name All Age Medical P.C., Inc.
DBA Doing business as
Authorized official Blake-Mcmahon, Andrea Natalie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 5th, 2007
Last updated Jan 20th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548440811 NPPES
Louisiana MEDICAID 1150185
Louisiana Other 5CF72

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