Philadelphia Center

LBN: Philadelphia Center
Philadelphia Center is an health care organization with primary practice located at 2020 Centenary Blvd , Shreveport LA 71104-2437. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Philadelphia Center can be contacted via phone (318) 222-6633, or through Beatty, Kenneth Elgin via phone (318) 222-6633.

Contact Information

Primary practice address
2020 Centenary Blvd Shreveport LA 71104-2437
Phone: (318) 222-6633
Fax: (318) 222-6678
Website:
Map and Directions
Authorized official contact:
Name: Beatty, Kenneth Elgin MS
Phone: (318) 222-6633

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X CM2271 Louisiana

Profile Details

NPI number 1134348923
LBN Legal business name Philadelphia Center
DBA Doing business as
Authorized official Beatty, Kenneth Elgin MS
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1134348923 NPPES
Louisiana MEDICAID 1966282

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