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LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER NPI 1366614117


NPI Information

NPI: 1366614117
Provider Name: LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER

Doing Business As: LOUISIANA STATE UNIVERSITY HEALTH SCIENCES

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1501 KINGS HWY
SHARED BILLING SERVICES
SHREVEPORT, LA
ZIP 71103
Phone: (318) 675-5000
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LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER is a family medicine in Shreveport, LA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER NPI is 1366614117. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Louisiana State University Health Sciences.

The provider's business location address is:

1501 KINGS HWY
SHARED BILLING SERVICES
SHREVEPORT, LA
ZIP 71103-228
Phone: (318) 675-5000
Fax: (318) 675-5666

The provider's authorized official is Melanie H Sotak .
The authorized official title is Director Of Managed Care and has the following contact phone number (318) 675-7737.

The enumeration date for this NPI number is 4/1/2008 and was last updated on 4/1/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine142LOUISIANANo
2207V00000XObstetrics & Gynecology142LOUISIANANo
3208000000XPediatrics142LOUISIANANo
4207Q00000XFamily Medicine142LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11444405MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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