Shriners Hospitals For Children Shreveport

LBN: Shriners Hospitals For Children
Shriners Hospitals For Children Shreveport is an health care organization with primary practice located at 3100 Samford Ave , Shreveport LA 71103-4239. The organization recently has only one registered license in Hospitals / Children, which is considered as the primary health care specialty. Shriners Hospitals For Children can be contacted via phone (318) 222-5704, or through Green, Garry Kim via phone (318) 222-5704.

Contact Information

Primary practice address
3100 Samford Ave Shreveport LA 71103-4239
Phone: (318) 222-5704
Fax: (318) 424-7610
Website:
Map and Directions
Authorized official contact:
Name: Green, Garry Kim FACHE
Phone: (318) 222-5704

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Children 282NC2000X 179 Louisiana

Profile Details

NPI number 1679617849
LBN Legal business name Shriners Hospitals For Children
DBA Doing business as Shriners Hospitals For Children Shreveport
Authorized official Green, Garry Kim FACHE
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2007
Last updated Mar 7th, 2014 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1679617849 NPPES
Alabama MEDICAID 149229
Alabama Other 258361
Alabama MEDICAID 2700031
Alabama MEDICAID 200341270A
Alabama MEDICAID 191748105
Alabama MEDICAID 08155267
Alabama MEDICAID 3168429
Alabama Other 179

Popular Providers