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PREMIER CARE AND LEARNING CENTER INC NPI 1679594782


NPI Information

NPI: 1679594782
Provider Name: PREMIER CARE AND LEARNING CENTER, INC

Other Name: PREMIER CARE CLINIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
2110 HOLLYWOOD AVE
SHREVEPORT, LA
ZIP 71108
Phone: (318) 635-5900
Get Directions

PREMIER CARE AND LEARNING CENTER, INC is a clinic center in Shreveport, LA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PREMIER CARE AND LEARNING CENTER, INC NPI is 1679594782. The provider is registered as an organization entity type.
The provider Other Name Is Premier Care Clinic.

The provider's business location address is:

2110 HOLLYWOOD AVE
SHREVEPORT, LA
ZIP 71108-922
Phone: (318) 635-5900
Fax: (318) 635-5601

The provider's authorized official is Florine Kessee-doyle .
The authorized official title is Director and has the following contact phone number (318) 635-5900.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 8/22/2020.


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
1261Q00000XClinic/CenterYes

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
11443760MEDICAIDLOUISIANA

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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