Family Medical Center

LBN: Family Medical Center
Family Medical Center is an health care organization with primary practice located at 8001 Youree Dr Suite 900, Shreveport LA 71115-2302. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Family Medical Center can be contacted via phone (318) 212-3830, or through Gavin, Greg J. via phone (318) 212-4571.

Contact Information

Primary practice address
8001 Youree Dr Suite 900 Shreveport LA 71115-2302
Phone: (318) 212-3830
Fax: (318) 212-3835
Website:
Map and Directions
Authorized official contact:
Name: Gavin, Greg J.
Phone: (318) 212-4571

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1225029515
LBN Legal business name Family Medical Center
DBA Doing business as
Authorized official Gavin, Greg J.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2005
Last updated Jun 8th, 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 1225029515 NPPES
Louisiana MEDICAID 1797031

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