Wk Shreveport Center For Geriatric Health
LBN: Wk Shreveport Center For Geriatric Health
Wk Shreveport Center For Geriatric Health is an health care organization with primary practice located at 2508 Bert Kouns Loop Suite 303, Shreveport LA 71118-3133. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as the primary health care specialty.
Wk Shreveport Center For Geriatric Health can be contacted via phone (318) 212-5850, or through Gavin, Greg J. via phone (318) 212-4232.
Contact Information
Primary practice address
2508 Bert Kouns Loop Suite 303
Shreveport LA 71118-3133
Phone: (318) 212-5850
Fax: (318) 212-5855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X |
Profile Details
| NPI number | 1114256476 |
|---|---|
| LBN Legal business name | Wk Shreveport Center For Geriatric Health |
| DBA Doing business as | |
| Authorized official | Gavin, Greg J. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 16th, 2009 |
| Last updated | Jan 23rd, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114256476 | NPPES |
| Louisiana | Other | 5DL73 | MEDICARE PTAN |
| Louisiana | MEDICAID | 1818798 | MEDICARE PTAN |
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