Surgical Specialty Center, Llc

LBN: Surgical Specialty Center, Llc
Surgical Specialty Center, Llc is an health care organization with primary practice located at 1500 Line Ave Suite 204, Shreveport LA 71101-4639. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Surgical Specialty Center, Llc can be contacted via phone (318) 629-5001, or through Moore, Kandi R via phone (318) 631-2525.

Contact Information

Primary practice address
1500 Line Ave Suite 204 Shreveport LA 71101-4639
Fax: (318) 629-5020
Website:
Authorized official contact:
Name: Moore, Kandi R RN, CNOR

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 80 Louisiana

Profile Details

NPI number 1316970916
LBN Legal business name Surgical Specialty Center, Llc
DBA Doing business as
Authorized official Moore, Kandi R RN, CNOR
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2006
Last updated Mar 31st, 2008 - about 17 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 1316970916 NPPES
Louisiana MEDICAID 1478334

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