Fresh Start Community Health Center Llc

LBN: Fresh Start Community Health Center Llc
Fresh Start Community Health Center Llc is an health care organization with primary practice located at 351 W 79Th St , Shreveport LA 71106. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Recovery Care. Ambulatory Health Care Facilities / Recovery Care is the primary health care specialty. Fresh Start Community Health Center Llc can be contacted via phone (318) 688-8190, or through Dinkins, Keesha S via phone (318) 688-8190.

Contact Information

Primary practice address
351 W 79Th St Shreveport LA 71106
Phone: (318) 688-8190
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dinkins, Keesha S
Phone: (318) 688-8190

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Recovery Care 261QR0800X

Profile Details

NPI number 1689182792
LBN Legal business name Fresh Start Community Health Center Llc
DBA Doing business as
Authorized official Dinkins, Keesha S
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2018
Last updated Jul 24th, 2019 - about 7 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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