RED RIVER SURGERY CENTER LLC NPI 1427384924

NPI Information

RED RIVER SURGERY CENTER LLC is an ambulatory surgical clinic center in Shreveport, LA. RED RIVER SURGERY CENTER LLC NPI is 1427384924. The provider is registered as an organization entity type.
The provider Is Doing Business As Red River Surgery Center.

The provider's business location address is:

708 N ASHLEY RIDGE LOOP BLDG 400
SHREVEPORT, LA
ZIP 71106-234
Phone: (318) 272-2214

The provider's authorized official is Jeffrey E. Snodgrass .
The authorized official title is President and has the following contact phone number (615) 665-1283.

The CLIA number assigned to this NPI record is 19D1106909 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/19/2009 and was last updated on 11/23/2022.

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:

Other Identifiers

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