Northshore Family Med. Ctr

LBN: Northshore Family Med. Ctr
Northshore Family Med. Ctr is an health care organization with primary practice located at 1150 Robert Blvd #100, Slidell LA 70458. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Northshore Family Med. Ctr can be contacted via phone (985) 646-1122, or through Casey, Kim via phone (985) 646-1122.

Contact Information

Primary practice address
1150 Robert Blvd #100 Slidell LA 70458
Phone: (985) 646-1122
Fax: (985) 646-1315
Website:
Map and Directions
Authorized official contact:
Name: Casey, Kim
Phone: (985) 646-1122

Health care specialties

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

Profile Details

NPI number 1467408799
LBN Legal business name Northshore Family Med. Ctr
DBA Doing business as
Authorized official Casey, Kim
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated Feb 3rd, 2010 - about 14 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 1467408799 NPPES
Louisiana MEDICAID 1798622
Louisiana Other CT0105
Louisiana Other 36092

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