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CHRISTUS SURGERY CENTER VILLAGES LLC NPI 1598390015


NPI Information

NPI: 1598390015
Provider Name: CHRISTUS SURGERY CENTER VILLAGES LLC

Doing Business As: CHRISTUS SURGERY CENTER - SHREVEPORT

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 19D2099643

Address:
385 BERT KOUNS INDUSTRIAL LOOP STE 300
SHREVEPORT, LA
ZIP 71106
Phone: (318) 212-0552
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CHRISTUS SURGERY CENTER VILLAGES LLC is an ambulatory surgical clinic center in Shreveport, LA. CHRISTUS SURGERY CENTER VILLAGES LLC NPI is 1598390015. The provider is registered as an organization entity type.
The provider Is Doing Business As Christus Surgery Center - Shreveport.

The provider's business location address is:

385 BERT KOUNS INDUSTRIAL LOOP STE 300
SHREVEPORT, LA
ZIP 71106-158
Phone: (318) 212-0552
Fax: (318) 212-0557

The provider's authorized official is Gary K Ruff .
The authorized official title is Chairperson Of The Board and has the following contact phone number (469) 282-2637.

The CLIA number assigned to this NPI record is 19D2099643 - other - outpatient cardiac rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/4/2020 and was last updated on 11/16/2022.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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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