Specialists Hospital Shreveport, Llc

LBN: Specialists Hospital Shreveport, Llc
Specialists Hospital Shreveport, Llc is an health care organization with primary practice located at 1500 Line Avenue Suite 206, Shreveport LA 71101-4639. The organization recently has 2 registered licenses in different health care specialties including Hospitals / General Acute Care Hospital, Suppliers / Prosthetic/Orthotic Supplier. Hospitals / General Acute Care Hospital is the primary health care specialty. Specialists Hospital Shreveport, Llc can be contacted via phone (318) 213-3800, or through Moore, Kandi G. via phone (318) 632-6083.

Contact Information

Primary practice address
1500 Line Avenue Suite 206 Shreveport LA 71101-4639
Phone: (318) 213-3800
Fax: (318) 213-3801
Website:
Map and Directions
Authorized official contact:
Name: Moore, Kandi G.
Phone: (318) 632-6083

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 626 Louisiana
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1104057694
LBN Legal business name Specialists Hospital Shreveport, Llc
DBA Doing business as
Authorized official Moore, Kandi G.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2009
Last updated May 6th, 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 1104057694 NPPES
Louisiana MEDICAID 1702439

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