Southern Rehab & Medical Center

LBN: Southern Rehab & Medical Center
Southern Rehab & Medical Center is an health care organization with primary practice located at 3511 River Rd Suite B, Jefferson LA 70121-4160. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Southern Rehab & Medical Center can be contacted via phone (504) 835-6845, or through Leach, Kenneth via phone (504) 835-6845.

Contact Information

Primary practice address
3511 River Rd Suite B Jefferson LA 70121-4160
Phone: (504) 835-6845
Fax: (504) 835-7811
Website:
Map and Directions
Authorized official contact:
Name: Leach, Kenneth
Phone: (504) 835-6845

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 3236908001 Louisiana

Profile Details

NPI number 1255388146
LBN Legal business name Southern Rehab & Medical Center
DBA Doing business as
Authorized official Leach, Kenneth
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2006
Last updated Oct 26th, 2011 - 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 1255388146 NPPES
Louisiana MEDICAID 1431478
Louisiana Other F7457

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