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HOLLYWOOD HEALTH SERVICE NPI 1912428335


NPI Information

NPI: 1912428335
Provider Name: HOLLYWOOD HEALTH SERVICE

Other Name: HHS MEDICAL TRANSPORTATION

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2835 HOLLYWOOD AVE
SHREVEPORT, LA
ZIP 71108
Phone: (318) 402-9069
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HOLLYWOOD HEALTH SERVICE is a mental health (including community mental health center) clinic center in Shreveport, LA. HOLLYWOOD HEALTH SERVICE NPI is 1912428335. The provider is registered as an organization entity type.
The provider Other Name Is Hhs Medical Transportation.

The provider's business location address is:

2835 HOLLYWOOD AVE
SHREVEPORT, LA
ZIP 71108-864
Phone: (318) 402-9069
Fax: (318) 861-5069

The provider's authorized official is Timothy Rene Thomas .
The authorized official title is Operational Director and has the following contact phone number (318) 402-9069.

The enumeration date for this NPI number is 7/6/2017 and was last updated on 1/29/2020.


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
1251J00000XNursing CareNo
2251S00000XCommunity/Behavioral HealthNo
3261QA0600XClinic/CenterAdult Day CareNo
4261QH0100XClinic/CenterHealth ServiceNo
5261QH0700XClinic/CenterHearing and SpeechNo
6261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes
7332B00000XDurable Medical Equipment & Medical SuppliesNo
8332BD1200XDurable Medical Equipment & Medical SuppliesDialysis Equipment & SuppliesNo
9332U00000XHome Delivered MealsNo
10343900000XNon-emergency Medical Transport (VAN)No
11347C00000XPrivate VehicleNo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.