SHRINERS HOSPITALS FOR CHILDREN NPI 1679617849

NPI Information

NPI: 1679617849
Provider Name: SHRINERS HOSPITALS FOR CHILDREN

Other Name: SHRINERS HOSPITALS FOR CHILDREN SHREVEPORT

Classification: General Acute Care Hospital - 282NC2000X
Entity Type: Organization

Specialization: Children

Address:
3100 SAMFORD AVE
SHREVEPORT, LA
ZIP 71103
Phone: (318) 222-5704
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SHRINERS HOSPITALS FOR CHILDREN is a children general acute care hospital in Shreveport, LA. SHRINERS HOSPITALS FOR CHILDREN NPI is 1679617849. The provider is registered as an organization entity type.
The provider Other Name Is Shriners Hospitals For Children Shreveport.

The provider's business location address is:

3100 SAMFORD AVE
SHREVEPORT, LA
ZIP 71103-239
Phone: (318) 222-5704
Fax: (318) 424-7610

The provider's authorized official is Garry Kim Green .
The authorized official title is Administrator and has the following contact phone number (318) 222-5704.

The enumeration date for this NPI number is 2/19/2007 and was last updated on 3/7/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282NC2000X	General Acute Care Hospital	Children	179	LOUISIANA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200341270A	MEDICAID	OKLAHOMA
2	2700031	MEDICAID	LOUISIANA
3	258361	OTHER	LOUISIANA	MEDICARE PART B (PTAN)
4	3168429	MEDICAID	TEXAS
5	179	OTHER	LOUISIANA	HOSPITAL LICENSE NUMBER
6	08155267	MEDICAID	MISSISSIPPI
7	149229	MEDICAID	ALABAMA
8	193301	MEDICARE OSCAR/CERTIFICATION
9	191748105	MEDICAID	ARKANSAS

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

NPI Synchronization or Removal

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