Gordon Ellis White Md,Llc

LBN: Gordon Ellis White Md,Llc
Gordon Ellis White Md,Llc is an health care organization with primary practice located at 201 4Th St Medical Plaza, Ste. 2E, Alexandria LA 71301-8421. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Gordon Ellis White Md,Llc can be contacted via phone (318) 443-9400, or through White, Gordon via phone (318) 443-9400.

Contact Information

Primary practice address
201 4Th St Medical Plaza, Ste. 2E Alexandria LA 71301-8421
Phone: (318) 443-9400
Fax: (318) 442-9406
Website:
Map and Directions
Authorized official contact:
Name: White, Gordon
Phone: (318) 443-9400

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 025398 Louisiana

Profile Details

NPI number 1548457559
LBN Legal business name Gordon Ellis White Md,Llc
DBA Doing business as
Authorized official White, Gordon
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2007
Last updated Oct 26th, 2007 - about 19 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 1548457559 NPPES
Louisiana MEDICAID 1423688

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