Geriatric Medical Corporation

LBN: Geriatric Medical Corporation
Geriatric Medical Corporation is an health care organization with primary practice located at 7813 Youree Dr , Shreveport LA 71105-5505. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Geriatric Medical Corporation can be contacted via phone (318) 212-3830, or through Henry, David T via phone (318) 212-3830.

Contact Information

Primary practice address
7813 Youree Dr Shreveport LA 71105-5505
Phone: (318) 212-3830
Fax: (318) 212-3835
Website:
Map and Directions
Authorized official contact:
Name: Henry, David T Doctor of Medicine (MD)
Phone: (318) 212-3830

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X L010682 Louisiana

Profile Details

NPI number 1215185855
LBN Legal business name Geriatric Medical Corporation
DBA Doing business as
Authorized official Henry, David T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2008
Last updated Sep 8th, 2008 - about 18 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 1215185855 NPPES
Louisiana MEDICAID 1096156

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