Slsc Medical Staff

LBN: Slsc Medical Staff
Slsc Medical Staff is an health care organization with primary practice located at 8711 Line Ave , Shreveport LA 71106-6813. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Slsc Medical Staff can be contacted via phone (318) 841-4486, or through Sanders, Kenneth W via phone (318) 841-4486.

Contact Information

Primary practice address
8711 Line Ave Shreveport LA 71106-6813
Phone: (318) 841-4486
Fax: (318) 841-4489
Website:
Map and Directions
Authorized official contact:
Name: Sanders, Kenneth W Doctor of Medicine (MD)
Phone: (318) 841-4486

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1174863336
LBN Legal business name Slsc Medical Staff
DBA Doing business as
Authorized official Sanders, Kenneth W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 26th, 2013
Last updated Sep 20th, 2019 - about 7 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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