Mills Clinic A Professional Medical Corporation
LBN: Mills Clinic A Professional Medical Corporation
Mills Clinic A Professional Medical Corporation is an health care organization with primary practice located at 7225 Fern Avenue Suite 600, Shreveport LA 71105-4981. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty.
Mills Clinic A Professional Medical Corporation can be contacted via phone (318) 629-3630, or through Mills, Bryan Haywood via phone (318) 629-3630.
Contact Information
Primary practice address
7225 Fern Avenue Suite 600
Shreveport LA 71105-4981
Phone: (318) 629-3630
Fax: (318) 629-3640
Website:
Authorized official contact:
Name: Mills, Bryan Haywood Doctor of Medicine (MD)
Phone: (318) 629-3630
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1649328030 |
|---|---|
| LBN Legal business name | Mills Clinic A Professional Medical Corporation |
| DBA Doing business as | |
| Authorized official | Mills, Bryan Haywood Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Oct 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649328030 | NPPES |
| Louisiana | MEDICAID | 1989088 | |
| Louisiana | Other | 19D1047971 |
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