Northshore Provider Group Llc

LBN: Northshore Provider Group Llc
Northshore Provider Group Llc is an health care organization with primary practice located at 48529 Red Fox Dr , Hammond LA 70401-3715. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is the primary health care specialty. Northshore Provider Group Llc can be contacted via phone (337) 315-9686, or through Mathews, James I via phone (337) 315-9686.

Contact Information

Primary practice address
48529 Red Fox Dr Hammond LA 70401-3715
Phone: (337) 315-9686
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mathews, James I
Phone: (337) 315-9686

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1285180158
LBN Legal business name Northshore Provider Group Llc
DBA Doing business as
Authorized official Mathews, James I
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2016
Last updated Aug 30th, 2016 - 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.

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