Lincoln Outpatient Therapy Services

LBN: Lincoln Outpatient Therapy Services
Lincoln Outpatient Therapy Services is an health care organization with primary practice located at 1817 Northpointe Lane , Ruston LA 71270-3879. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. Lincoln Outpatient Therapy Services can be contacted via phone (318) 255-9601, or through Shirley, Matthew Randolph via phone (318) 255-9601.

Contact Information

Primary practice address
1817 Northpointe Lane Ruston LA 71270-3879
Phone: (318) 255-9601
Fax: (318) 255-7971
Website:
Map and Directions
Authorized official contact:
Name: Shirley, Matthew Randolph Physical Therapist (PT)
Phone: (318) 255-9601

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X Louisiana

Profile Details

NPI number 1407825060
LBN Legal business name Lincoln Outpatient Therapy Services
DBA Doing business as
Authorized official Shirley, Matthew Randolph Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2006
Last updated Dec 15th, 2011 - about 13 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 1407825060 NPPES
Louisiana Other 7822443 AETNA
Louisiana MEDICAID 1169234 AETNA

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