Red River Pediatric Clinic, Llc

LBN: Red River Pediatric Clinic, Llc
Red River Pediatric Clinic, Llc is an health care organization with primary practice located at 1801 Fairfield Ave Suite 305, Shreveport LA 71101-4443. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Red River Pediatric Clinic, Llc can be contacted via phone (318) 221-2900, or through Mcconnell, Natalie via phone (318) 221-2900.

Contact Information

Primary practice address
1801 Fairfield Ave Suite 305 Shreveport LA 71101-4443
Phone: (318) 221-2900
Fax: (318) 221-2999
Website:
Map and Directions
Authorized official contact:
Name: Mcconnell, Natalie Doctor of Medicine (MD)
Phone: (318) 221-2900

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1023167731
LBN Legal business name Red River Pediatric Clinic, Llc
DBA Doing business as
Authorized official Mcconnell, Natalie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2007
Last updated Aug 22nd, 2020 - about 6 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 1023167731 NPPES
Louisiana MEDICAID 1443646

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