FRESH START COMMUNITY HEALTH CENTER LLC NPI 1689182792

NPI Information

NPI: 1689182792
Provider Name: FRESH START COMMUNITY HEALTH CENTER LLC
Classification: Clinic/Center - 261QR0800X
Entity Type: Organization

Specialization: Recovery Care

Address:
351 W 79TH ST
SHREVEPORT, LA
ZIP 71106
Phone: (318) 688-8190
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FRESH START COMMUNITY HEALTH CENTER LLC is a recovery care clinic center in Shreveport, LA. FRESH START COMMUNITY HEALTH CENTER LLC NPI is 1689182792. The provider is registered as an organization entity type.

The provider's business location address is:

351 W 79TH ST
SHREVEPORT, LA
ZIP 71106
Phone: (318) 688-8190

The provider's authorized official is Keesha S Dinkins .
The authorized official title is Business Manager and has the following contact phone number (318) 688-8190.

The enumeration date for this NPI number is 1/11/2018 and was last updated on 7/24/2019.

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	Primary
1	261QC1500X	Clinic/Center	Community Health	No
2	261QP2300X	Clinic/Center	Primary Care	No
3	261QR0800X	Clinic/Center	Recovery Care	Yes

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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