Vital Care Rx
LBN: Kcc, Inc
Vital Care Rx is an health care organization with primary practice located at 8625 Line Ave Ste A , Shreveport LA 71106-6107. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty.
Kcc, Inc can be contacted via phone (318) 673-8360, or through Gilchrist, Brad via phone (601) 482-4003.
Contact Information
Primary practice address
8625 Line Ave Ste A
Shreveport LA 71106-6107
Phone: (318) 673-8360
Fax: (318) 673-8940
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 006322-IR | Louisiana |
| Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | 006322-IR | Louisiana |
| Suppliers / Pharmacy | 333600000X | 6322 | Louisiana |
| Suppliers / Home Infusion Therapy Pharmacy | 3336H0001X | 006322-IR | Louisiana |
Profile Details
| NPI number | 1043520968 |
|---|---|
| LBN Legal business name | Kcc, Inc |
| DBA Doing business as | Vital Care Rx |
| Authorized official | Gilchrist, Brad |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 13th, 2010 |
| Last updated | May 2nd, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043520968 | NPPES |
| Louisiana | MEDICAID | 2200429 |
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